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General NPI Number Information
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NPI Number | 1225567654
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Entity Type | Organization
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Legal Business Name | SKY BLUE TRANSPORTATION
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 276 ESSER AVENUE
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City | BUFFALO
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State | NY
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Zip | 14207
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Country | US
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Telephone | 716-533-2633
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Fax |
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Provider Business Mailing Address
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Address Line | 276 ESSER AVE
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City | BUFFALO
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State | NY
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Zip | 14207-1229
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Country | US
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Telephone | 716-533-2633
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MLAR NEE
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Credential |
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Telephone | 716-533-2633
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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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