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General NPI Number Information
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NPI Number | 1720774524
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Entity Type | Organization
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Legal Business Name | VIP NON EMERGENCY TRANSPORTATION, LLC
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 810 S CHICKASAW TRL
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City | ORLANDO
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State | FL
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Zip | 32825-7810
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Country | US
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Telephone | 689-238-9798
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Fax |
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Provider Business Mailing Address
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Address Line | 810 S CHICKASAW TRL
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City | ORLANDO
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State | FL
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Zip | 32825-7810
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAGDELYN MALDONADO
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Credential | MD
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Telephone | 689-238-9798
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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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