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General NPI Number Information
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NPI Number | 1194253013
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Entity Type | Organization
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Legal Business Name | AABAC TAXI INC
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 05/23/2017
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Provider Practice Location Address
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Address Line | 369 BLANDING BLVD STE N24
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City | ORANGE PARK
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State | FL
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Zip | 32073-4394
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Country | US
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Telephone | 904-588-6311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 951
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City | ORANGE PARK
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State | FL
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Zip | 32067-0951
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Country | US
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Telephone | 786-539-6372
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BURRUCHAGA BEL-AIR
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Credential |
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Telephone | 904-588-6311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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