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General NPI Number Information
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NPI Number | 1760020085
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Entity Type | Organization
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Legal Business Name | ITRANSIT
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 236 STONY POINT DR
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City | SEBASTIAN
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State | FL
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Zip | 32958-6485
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Country | US
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Telephone | 772-913-4072
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Fax | 772-918-8872
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Provider Business Mailing Address
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Address Line | 236 STONY POINT DR
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City | SEBASTIAN
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State | FL
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Zip | 32958-6485
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Country | US
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Telephone | 772-913-4072
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Fax | 772-918-8872
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Authorized Official
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Title or Position | VP/DRIVER
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Name | MICHAEL MUSITANO
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Credential |
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Telephone | 772-913-4076
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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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