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General NPI Number Information
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NPI Number | 1356896351
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Entity Type | Organization
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Legal Business Name | ANGELES TAXI CAB
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 3667 VALLEY BLVD SPC 163
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City | POMONA
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State | CA
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Zip | 91768-6920
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Country | US
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Telephone | 909-764-1640
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Fax | 626-862-1334
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Provider Business Mailing Address
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Address Line | 3667 VALLEY BLVD SPC 163
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City | POMONA
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State | CA
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Zip | 91768-6920
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Country | US
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Telephone | 909-764-1640
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Fax | 626-862-1434
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Authorized Official
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Title or Position | ONWER
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Name | MR. ABEL GUILLEN LEYVA II
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Credential |
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Telephone | 909-764-1640
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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 | 8Z31016
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License Number State | CA
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