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General NPI Number Information
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NPI Number | 1841077336
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Entity Type | Organization
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Legal Business Name | SMILEY DESTINATIONS, LLC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 37 N ORANGE AVE STE 222
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City | ORLANDO
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State | FL
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Zip | 32801-2439
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Country | US
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Telephone | 334-327-8230
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Fax |
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Provider Business Mailing Address
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Address Line | 11018 GRANDE PINES CIR APT 1214
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City | ORLANDO
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State | FL
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Zip | 32821-9344
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Country | US
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Telephone | 334-327-8230
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CRYSTAL SMILEY
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Credential |
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Telephone | 334-327-8230
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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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