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General NPI Number Information
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NPI Number | 1770995268
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Entity Type | Organization
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Legal Business Name | LEOPARD MEDICAL TRANSPORT, LLC
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1848 NE JACKSONVILLE RD
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City | OCALA
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State | FL
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Zip | 34470-4142
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Country | US
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Telephone | 352-732-6484
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Fax | 352-369-6077
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | OCALA
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State | FL
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Zip | 34478-3276
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Country | US
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Telephone | 352-732-6484
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Fax | 352-369-6077
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JESSICA RILEY
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Credential |
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Telephone | 352-368-2089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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