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General NPI Number Information
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NPI Number | 1184140808
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Entity Type | Organization
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Legal Business Name | STAR6 TRANSPORTATION INC
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1745 COLVIN BLVD
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City | TONAWANDA
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State | NY
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Zip | 14223
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Country | US
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Telephone | 740-408-1590
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 COLVIN BLVD
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City | TONAWANDA
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State | NY
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Zip | 14223-1107
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Country | US
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Telephone | 740-408-1590
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TESFAYE ABTEW
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Credential | PHD
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Telephone | 740-408-1590
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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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