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General NPI Number Information
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NPI Number | 1821366022
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Entity Type | Organization
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Legal Business Name | LOGISTIC SOLUTIONS
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 4170 SW 20TH ST
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City | FT LAUDERDALE
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State | FL
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Zip | 33317-6707
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Country | US
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Telephone | 954-234-8965
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Fax | 754-223-7258
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Provider Business Mailing Address
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Address Line | PO BOX 15074
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City | PLANTATION
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State | FL
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Zip | 33318-5074
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Country | US
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Telephone | 954-234-8965
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Fax | 754-223-7258
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Authorized Official
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Title or Position | MANAGER
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Name | DREXEL HARRIS
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Credential |
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Telephone | 954-234-8965
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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 | LL1144
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License Number State | FL
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