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General NPI Number Information
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NPI Number | 1821419375
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Entity Type | Organization
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Legal Business Name | MILLOY TRANSPORT, INC.
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 12/31/2013
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Provider Practice Location Address
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Address Line | 5200 W NEWBERRY RD SUITE D9
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City | GAINESVILLE
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State | FL
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Zip | 32607-6104
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Country | US
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Telephone | 352-264-8028
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Fax | 352-264-8030
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Provider Business Mailing Address
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Address Line | 5200 W NEWBERRY RD SUITE D9
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City | GAINESVILLE
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State | FL
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Zip | 32607-6104
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Country | US
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Telephone | 352-264-8028
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Fax | 352-264-8030
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATHERINE RUTH MILLOY
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Credential | RN
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Telephone | 352-264-8028
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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 | 40722
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License Number State | FL
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