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General NPI Number Information
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NPI Number | 1699913079
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Entity Type | Organization
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Legal Business Name | B & L TRANSIT 2
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 5089 SW BIRLEY AVE
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City | LAKE CITY
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State | FL
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Zip | 32024-0991
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Country | US
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Telephone | 770-668-4162
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3281
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City | LAKE CITY
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State | FL
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Zip | 32056-3281
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Country | US
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Telephone | 770-668-4162
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YVETTE STEPHENSON
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Credential |
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Telephone | 770-668-4162
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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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