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General NPI Number Information
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NPI Number | 1093119430
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Entity Type | Organization
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Legal Business Name | METRO CAB OF GRAND RAPIDS
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 5500 44TH ST SE # 132
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City | GRAND RAPIDS
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State | MI
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Zip | 49512-4055
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Country | US
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Telephone | 734-946-1707
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Fax |
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Provider Business Mailing Address
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Address Line | 24957 BREST
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City | TAYLOR
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State | MI
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Zip | 48180-4027
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Country | US
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Telephone | 734-946-1708
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | ANTHONY JOSEPH NOWAK
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Credential |
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Telephone | 734-946-1707
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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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