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General NPI Number Information
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NPI Number | 1013478478
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Entity Type | Organization
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Legal Business Name | TRI STATE CAB CO, LLC
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 113 W 6TH ST
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-2921
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Country | US
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Telephone | 330-385-0200
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Fax | 330-932-1536
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Provider Business Mailing Address
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Address Line | 113 W 6TH ST
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-2921
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Country | US
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Telephone | 330-385-0200
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Fax | 330-932-1536
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Authorized Official
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Title or Position | OWNER
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Name | AMY ELIZABETH HISSOM
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Credential |
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Telephone | 330-385-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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