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General NPI Number Information
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NPI Number | 1760947741
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Entity Type | Organization
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Legal Business Name | RUSH TRANSPORTATION& TRUCKING INC
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 4891 NW 103RD AVE
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City | SUNRISE
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State | FL
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Zip | 33351-7986
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Country | US
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Telephone | 954-899-8796
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Fax |
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Provider Business Mailing Address
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Address Line | 5869 NW CAROVEL AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-3802
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Country | US
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Telephone | 954-501-7169
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVE PEPE
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Credential |
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Telephone | 954-501-7169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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