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General NPI Number Information
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NPI Number | 1649013616
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Entity Type | Organization
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Legal Business Name | SPOT LOGISTICS
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 5601 ROSEHILL RD. UNIT 105 BLDG 28
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City | SARASOTA
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State | FL
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Zip | 34233
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Country | US
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Telephone | 941-326-9595
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19873
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City | SARASOTA
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State | FL
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Zip | 34276-2873
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Country | US
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Telephone | 941-326-9595
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MACARENA NAHIR ACOSTA-BUSTOS
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Credential |
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Telephone | 941-326-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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