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General NPI Number Information
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NPI Number | 1053830554
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Entity Type | Organization
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Legal Business Name | COEBURN TAXI SERVICE, INC.
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 09/15/2017
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Provider Practice Location Address
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Address Line | 7430 CANEY RIDGE RD
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City | COEBURN
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State | VA
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Zip | 24230-5122
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Country | US
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Telephone | 276-395-2536
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Fax | 276-395-2976
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Provider Business Mailing Address
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Address Line | PO BOX 2357
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City | COEBURN
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State | VA
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Zip | 24230-2357
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Country | US
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Telephone | 276-395-2536
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Fax | 276-395-2976
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL LEE RING
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Credential |
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Telephone | 276-395-2536
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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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Taxonomy #2
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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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