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General NPI Number Information
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NPI Number | 1831340678
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Entity Type | Organization
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Legal Business Name | FORTUNE TRAFFIC SCHOOL,INC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 2880W.OAKLAND PARK BLVD SUITE # 226
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City | FORT LAUDRERDALE
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State | FL
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Zip | 33311
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Country | US
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Telephone | 954-739-5580
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Fax | 954-739-5427
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Provider Business Mailing Address
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Address Line | 2880 W OAKLAND PARK BLVD SUITE # 226
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1354
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Country | US
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Telephone | 954-739-5580
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Fax | 954-739-5427
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. MUYINAT DURORIKE IDOWU
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Credential | CNA/HHA
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Telephone | 954-739-5580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299993192
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License Number State | FL
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