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General NPI Number Information
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NPI Number | 1053662676
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Entity Type | Individual
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Provider Name | BRIGIDO JOSE PICHARDO TAXI TRANSPORTATION
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Gender | Male
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Dates
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Enumeration Date | 09/21/2012
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 71 MARNE RD LOWER
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City | CHEEKTOWAGA
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State | NY
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Zip | 14215-3611
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Country | US
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Telephone | 716-603-0609
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Fax |
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Provider Business Mailing Address
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Address Line | 71 MARNE RD
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City | CHEEKTOWAGA
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State | NY
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Zip | 14215-3611
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Country | US
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Telephone | 716-603-0609
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 301642084
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License Number State | NY
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