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General NPI Number Information
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NPI Number | 1851168744
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Entity Type | Organization
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Legal Business Name | MCCREA PARTNERSHIP
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 1787 BEARBERRY CIR APT 102
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City | LUTZ
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State | FL
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Zip | 33559-8763
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Country | US
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Telephone | 813-758-0483
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1567
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City | LAND O LAKES
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State | FL
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Zip | 34639-1567
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Country | US
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Telephone | 813-758-0483
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYLVIA L MCCREA
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Credential |
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Telephone | 813-413-1145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 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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