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General NPI Number Information
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NPI Number | 1669671053
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Entity Type | Organization
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Legal Business Name | CRIS TRANSPORTATION SERVICES LLC
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 01/09/2009
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Provider Practice Location Address
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Address Line | 5370 W STATE ROAD 84 BAY 1
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City | DAVIE
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State | FL
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Zip | 33314-1241
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Country | US
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Telephone | 954-791-8077
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Fax | 954-791-7571
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Provider Business Mailing Address
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Address Line | 5370 W STATE ROAD 84 BAY 1
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City | DAVIE
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State | FL
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Zip | 33314-1241
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Country | US
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Telephone | 954-791-8077
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Fax | 954-791-7571
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIA ISABEL RODRIGUEZ
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Credential |
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Telephone | 954-791-8077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | PBC VH1944
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License Number State | FL
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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 | 10-91
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License Number State | FL
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