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General NPI Number Information
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NPI Number | 1104373976
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Entity Type | Organization
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Legal Business Name | LOCOMOTIVES TAXI LLC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 3451 UNION ST
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City | LAFAYETTE
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State | IN
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Zip | 47905-4485
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Country | US
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Telephone | 765-477-1234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5644
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City | LAFAYETTE
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State | IN
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Zip | 47903-5644
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Country | US
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Telephone | 765-477-1234
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER / OWNER
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Name | MR. WILLIAM R JENKINS
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Credential |
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Telephone | 765-404-8288
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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 | 201348410 A
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License Number State | IN
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