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General NPI Number Information
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NPI Number | 1982883971
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Entity Type | Organization
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Legal Business Name | CARE A VAN CONSOLIDATED TRANSPORTATION
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 1367 S 18TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4756
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Country | US
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Telephone | 904-261-0701
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Fax | 904-261-0704
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Provider Business Mailing Address
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Address Line | 1367 S 18TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4756
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Country | US
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Telephone | 904-261-0701
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Fax | 904-261-0704
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ALBERT G RIZER
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Credential |
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Telephone | 904-261-0701
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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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