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General NPI Number Information
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NPI Number | 1649078783
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Entity Type | Organization
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Legal Business Name | SILVER REIGN TRANSPORT LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 754-237-8904
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 SW 101ST AVE STE 206
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City | MIRAMAR
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State | FL
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Zip | 33025-5090
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Country | US
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Telephone | 754-237-8904
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. TIANA C MILLER
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Credential |
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Telephone | 754-237-8904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #2
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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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