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General NPI Number Information
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NPI Number | 1821819830
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Entity Type | Organization
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Legal Business Name | A1A TRANSPORT LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 801 INTERNATIONAL PKWY STE 5
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City | LAKE MARY
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State | FL
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Zip | 32746-4762
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Country | US
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Telephone | 407-255-0789
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 950288
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City | LAKE MARY
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State | FL
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Zip | 32795-0288
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Country | US
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Telephone | 207-255-0789
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEAN FRANK FRIDAY
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Credential | TRANSPORT
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Telephone | 407-255-0789
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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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