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General NPI Number Information
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NPI Number | 1306477161
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Entity Type | Organization
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Legal Business Name | PUTNAM TAXI LLC
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 119 SCHOOL ST APT 6
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City | PUTNAM
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State | CT
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Zip | 06260-1630
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Country | US
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Telephone | 860-336-9151
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 600
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City | PUTNAM
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State | CT
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Zip | 06260-0600
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Country | US
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Telephone | 860-336-9151
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT WINFIELD FREEMAN
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Credential |
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Telephone | 860-928-7433
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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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