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General NPI Number Information
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NPI Number | 1922713239
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Entity Type | Organization
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Legal Business Name | INTERSTATE FLEET DISPATCHING COMPANY LLC
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 4 WESTON RD
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City | LEESBURG
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State | FL
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Zip | 34748-7103
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Country | US
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Telephone | 352-321-7652
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Fax | 352-323-8999
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Provider Business Mailing Address
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Address Line | 27615 US HWY 27 STE 109 #201
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City | LEESBURG
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State | FL
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Zip | 34748
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Country | US
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Telephone | 352-321-7652
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Fax | 352-323-8999
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. PHILLIND K HARRISON
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Credential |
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Telephone | 352-321-7652
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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 |
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License Number State |
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