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General NPI Number Information
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NPI Number | 1659684405
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Entity Type | Organization
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Legal Business Name | SCHRECKENGHAUST MICHEL & PACK INC
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 333 TAMIAMI TRL S SUITE 272
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City | VENICE
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State | FL
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Zip | 34285-2402
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Country | US
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Telephone | 941-485-1911
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Fax | 941-485-1935
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | NOKOMIS
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State | FL
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Zip | 34274-0038
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Country | US
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Telephone | 941-485-1911
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Fax | 941-485-1935
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. REX SCHRECKENGHAUST
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Credential |
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Telephone | 941-485-1911
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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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Taxonomy #2
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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