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General NPI Number Information
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NPI Number | 1710470687
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Entity Type | Organization
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Legal Business Name | ELITE TRANSPORT SOUTH, LLC
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 707 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5611
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Country | US
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Telephone | 305-902-9848
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Fax | 678-402-7081
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Provider Business Mailing Address
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Address Line | 707 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5611
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Country | US
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Telephone | 305-902-9848
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Fax | 678-402-7081
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL ATELUS
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Credential |
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Telephone | 305-902-9848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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