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NPI 1962906040

NPI 1962906040 : FIRST CHOICE TRANSPORT SERVICE INC : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1962906040
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST CHOICE TRANSPORT SERVICE INC 
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Dates
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    Enumeration Date     |    03/22/2018
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    Last Update Date     |    03/22/2018
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Provider Practice Location Address
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    Address Line         |    3459 WILSHIRE WAY RD 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32829-7353
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    Country              |    US
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    Telephone            |    407-350-0080
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3459 WILSHIRE WAY RD 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32829-7353
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    Country              |    US
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    Telephone            |    407-350-0080
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JUAN MIGUEL PONCE 
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    Credential           |    
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    Telephone            |    407-350-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343800000X
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    Taxonomy Name        |    Secured Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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