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General NPI Number Information
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NPI Number | 1841731775
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Entity Type | Organization
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Legal Business Name | ON TIME MEDICAL LLC
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 15160 SW 136TH ST UNIT 10
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City | MIAMI
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State | FL
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Zip | 33196-2664
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Country | US
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Telephone | 304-373-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 2549 CEDAR LAKES DR
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City | RIPLEY
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State | WV
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Zip | 25271-6551
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Country | US
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Telephone | 304-373-3145
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HUGO RENE OLIVARES
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Credential |
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Telephone | 786-556-4466
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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