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General NPI Number Information
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NPI Number | 1730255654
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Entity Type | Organization
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Legal Business Name | KAM'S WHEELCHAIR SERVICE INC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6363 TAFF ST SUITE 102
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City | HOLLYWOOD
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State | FL
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Zip | 33024-5962
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Country | US
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Telephone | 954-628-5177
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Fax | 954-535-7633
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Provider Business Mailing Address
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Address Line | 3500 N STATE RD 7 SUITE 125
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319
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Country | US
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Telephone | 954-628-5177
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Fax | 954-628-5177
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LLOYD ANTHONY SUDU
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Credential | TRANSPORTATION
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Telephone | 954-628-5177
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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 | 10-76
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License Number State | FL
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