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General NPI Number Information
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NPI Number | 1225424419
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Entity Type | Organization
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Legal Business Name | LINCOLN LIVERY SERVICE
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 1700 FACTORY ST
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City | SPRINGFIELD
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State | IL
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Zip | 62702-2838
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Country | US
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Telephone | 217-753-5010
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Fax | 217-523-0522
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Provider Business Mailing Address
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Address Line | 1700 FACTORY ST
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City | SPRINGFIELD
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State | IL
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Zip | 62702-2838
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Country | US
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Telephone | 217-753-5010
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Fax | 217-523-0522
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Authorized Official
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Title or Position | CLERICAL
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Name | ASHLEY M MULL
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Credential |
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Telephone | 217-753-5010
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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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