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General NPI Number Information
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NPI Number | 1235492661
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Entity Type | Organization
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Legal Business Name | FIRST FOOT FORWARD FAMILY SOLUTIONS LLC
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 9 SANFORD ST
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City | WEST HAVEN
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State | CT
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Zip | 06516-2351
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Country | US
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Telephone | 203-936-8516
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3316
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City | NEW HAVEN
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State | CT
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Zip | 06515-0416
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Country | US
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Telephone | 203-936-8516
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ULISH BOOKER
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Credential |
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Telephone | 517-803-5481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #4
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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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