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General NPI Number Information
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NPI Number | 1750906632
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Entity Type | Organization
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Legal Business Name | GUIDED MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 5942 FROND WAY
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City | APOLLO BEACH
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State | FL
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Zip | 33572-2646
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Country | US
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Telephone | 813-419-4380
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Fax | 813-354-2301
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Provider Business Mailing Address
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Address Line | PO BOX 621
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City | LITHIA
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State | FL
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Zip | 33547-0621
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Country | US
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Telephone | 813-419-4380
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Fax | 813-354-2301
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Authorized Official
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Title or Position | COO
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Name | MR. ANTHONY DUANE TOLES JR.
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Credential |
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Telephone | 813-625-9957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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