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General NPI Number Information
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NPI Number | 1861771834
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Entity Type | Organization
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Legal Business Name | MONCUR MEDICAL TRANSPORTATION INC.
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 1710 NW 1ST TER
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5212
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Country | US
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Telephone | 954-448-8537
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Fax | 754-227-7094
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Provider Business Mailing Address
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Address Line | 402 SW 2ND ST 23
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-3258
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Country | US
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Telephone | 954-448-8537
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Fax | 754-227-7094
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | CORETTA S ARMBRISTER
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Credential |
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Telephone | 954-448-8537
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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 | A651117788100
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License Number State | FL
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