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General NPI Number Information
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NPI Number | 1740550458
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Entity Type | Organization
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Legal Business Name | NISSI TRANSPORTATION SERVICE, LLC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 1100 NE 125TH ST SUITE 106 A
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5044
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Country | US
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Telephone | 305-793-2254
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Fax | 786-235-8723
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Provider Business Mailing Address
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Address Line | 1100 NE 125TH ST SUITE 106 A
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5044
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Country | US
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Telephone | 305-793-2254
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Fax | 786-235-8679
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. JEAN MARC CHARLES
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Credential |
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Telephone | 305-793-2254
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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 | FL
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