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General NPI Number Information
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NPI Number | 1093068322
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Entity Type | Organization
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Legal Business Name | CITY TAXI
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 14871 TOTEM POLE ST
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City | VICTORVILLE
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State | CA
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Zip | 92394
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Country | US
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Telephone | 760-949-8294
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Fax |
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Provider Business Mailing Address
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Address Line | 14871 TOTEM POLE ST
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City | VICTORVILLE
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State | CA
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Zip | 92394-6701
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Country | US
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Telephone | 760-949-8294
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Fax |
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Authorized Official
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Title or Position | TAXI DRIVER
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Name | MRS. WINTER MILLER
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Credential |
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Telephone | 760-949-8294
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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 | B8786034
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License Number State | CA
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