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General NPI Number Information
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NPI Number | 1740877182
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Entity Type | Organization
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Legal Business Name | JUSTRANZIT SCHOOL BUS INC
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 2306 N 49TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34946-1017
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Country | US
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Telephone | 919-791-5195
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Fax | 772-464-6522
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Provider Business Mailing Address
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Address Line | 2306 N 49TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34946-1017
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Country | US
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Telephone | 919-791-5195
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEIDRE BUTLER
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Credential |
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Telephone | 919-791-5195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 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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