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General NPI Number Information
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NPI Number | 1346756673
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Entity Type | Organization
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Legal Business Name | JAQUAR LIMO LLC
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Dates
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Enumeration Date | 12/22/2017
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Last Update Date | 12/22/2017
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Provider Practice Location Address
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Address Line | 20 OLD COUNTY RD STE 8
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-1557
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Country | US
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Telephone | 860-566-8666
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Fax |
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Provider Business Mailing Address
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Address Line | 20 OLD COUNTY RD STE 8
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City | WINDSOR LOCKS
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State | CT
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Zip | 06096-1557
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Country | US
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Telephone | 860-566-8666
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ADIL IBRAHIM
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Credential |
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Telephone | 860-566-8666
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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 | 3382
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License Number State | CT
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