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General NPI Number Information
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NPI Number | 1992359756
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Entity Type | Organization
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Legal Business Name | PRO HEALTH AND CARE TRANSPORTATION LLC.
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 2622 CARRICKTON CIR
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City | ORLANDO
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State | FL
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Zip | 32824-4228
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Country | US
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Telephone | 321-695-1452
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Fax | 497-203-1094
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Provider Business Mailing Address
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Address Line | 2622 CARRICKTON CIR
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City | ORLANDO
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State | FL
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Zip | 32824-4228
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Country | US
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Telephone | 321-695-1452
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Fax | 497-203-1094
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Authorized Official
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Title or Position | OWNER
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Name | MRS. INA DEL CARMEN MELENDEZ
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Credential | TRANSPORT
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Telephone | 321-695-1452
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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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