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General NPI Number Information
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NPI Number | 1932459625
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Entity Type | Organization
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Legal Business Name | FALCK SOUTHEAST II CORP
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 03/02/2018
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Provider Practice Location Address
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Address Line | 6605 NW 74TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-2819
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Country | US
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Telephone | 305-888-4100
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Fax | 305-888-3229
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Provider Business Mailing Address
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Address Line | P.O. BOX 66-8710
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City | MIAMI
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State | FL
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Zip | 33166-8710
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Country | US
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Telephone | 305-888-4100
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Fax | 305-888-3229
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES MAYMON
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Credential |
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Telephone | 888-876-2100
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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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