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General NPI Number Information
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NPI Number | 1669972071
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Entity Type | Organization
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Legal Business Name | KCS TRANSCARE LLC.
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 02/13/2018
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Provider Practice Location Address
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Address Line | 3110 1ST AVE N STE 2M
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-8637
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Country | US
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Telephone | 727-490-5825
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Fax | 727-499-0986
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Provider Business Mailing Address
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Address Line | 3110 1ST AVE N STE 2M
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-8637
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Country | US
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Telephone | 727-490-5825
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Fax | 727-499-0986
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MALCOLM SHABASS TURNER
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Credential |
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Telephone | 727-490-5825
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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