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General NPI Number Information
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NPI Number | 1689495558
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Entity Type | Organization
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Legal Business Name | SPECIALIZED EVENT SERVICES, LLC.
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1420 W MAIN ST
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City | MAYO
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State | FL
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Zip | 32066-4189
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Country | US
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Telephone | 386-804-9337
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 W MAIN ST
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City | MAYO
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State | FL
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Zip | 32066-4189
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Country | US
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Telephone | 386-804-9337
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREG MELVIN
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Credential | PMD
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Telephone | 386-804-9337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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