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General NPI Number Information
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NPI Number | 1235665415
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Entity Type | Individual
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Provider Name | CARINEL PRITCHARD JR. DRIVER
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Gender | Male
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Dates
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Enumeration Date | 05/07/2017
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Last Update Date | 05/07/2017
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Provider Practice Location Address
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Address Line | 234 NICHOLS AVE # 2
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City | BROOKLYN
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State | NY
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Zip | 11208-1814
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Country | US
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Telephone | 347-232-3793
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Fax |
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Provider Business Mailing Address
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Address Line | 234 NICHOLS AVE # 2
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City | BROOKLYN
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State | NY
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Zip | 11208-1814
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Country | US
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Telephone | 347-232-3793
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 161932946
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License Number State | NY
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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 | 161932946
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 161932946
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License Number State | NY
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