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General NPI Number Information
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NPI Number | 1841772480
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Entity Type | Organization
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Legal Business Name | RED CARPET SEDAN INC
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 4261 VICTORIA LAKES DR W
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City | JACKSONVILLE
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State | FL
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Zip | 32226-0705
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Country | US
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Telephone | 904-584-9398
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Fax |
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Provider Business Mailing Address
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Address Line | 4261 VICTORIA LAKES DR W
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City | JACKSONVILLE
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State | FL
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Zip | 32226-0705
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Country | US
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Telephone | 904-584-9398
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOMINIC VERSHAN BROWN
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Credential |
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Telephone | 904-584-9398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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