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General NPI Number Information
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NPI Number | 1871369769
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Entity Type | Organization
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Legal Business Name | BY THE BAY NEMT SERVICES LLC
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 1123 WALT WILLIAMS RD LOT 128
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City | LAKELAND
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State | FL
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Zip | 33809-2390
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Country | US
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Telephone | 570-221-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 1123 WALT WILLIAMS RD LOT 128
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City | LAKELAND
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State | FL
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Zip | 33809-2390
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Country | US
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Telephone | 570-221-0037
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JENNIFER BENNETT
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Credential |
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Telephone | 863-221-0012
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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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