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General NPI Number Information
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NPI Number | 1225221054
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Entity Type | Organization
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Legal Business Name | YELLOW MEDIVAN AND TAXI
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 39 GRISWOLD ST
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City | BINGHAMTON
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State | NY
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Zip | 13904-1473
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Country | US
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Telephone | 607-724-7545
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Fax |
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Provider Business Mailing Address
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Address Line | 39 GRISWOLD ST
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City | BINGHAMTON
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State | NY
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Zip | 13904-1473
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Country | US
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Telephone | 607-724-7545
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Fax | 607-723-8380
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHARON COHN
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Credential |
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Telephone | 607-724-7545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State | NY
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