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General NPI Number Information
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NPI Number | 1194138198
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Entity Type | Organization
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Legal Business Name | MAVROS TRANSPORTATION INC
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 4918 FOSTER AVE
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City | BROOKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 718-629-1038
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Fax | 718-629-1429
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Provider Business Mailing Address
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Address Line | 4918 FOSTER AVE
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City | BROOKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 718-629-1038
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Fax | 718-629-1429
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROXANNE HEWLING
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Credential |
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Telephone | 347-935-0321
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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 | B02769
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | B02769
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | B02769
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License Number State | NY
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