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General NPI Number Information
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NPI Number | 1366813115
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Entity Type | Organization
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Legal Business Name | KOFO TRANSPORTATION
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 21923 MERRICK BLVD
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City | LAURELTON
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State | NY
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Zip | 11413-1950
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Country | US
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Telephone | 347-455-2935
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Fax |
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Provider Business Mailing Address
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Address Line | 219 23 MERRICK BLVD
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City | LAURELTON
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State | NY
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Zip | 10454
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KOFOWOROLA AKINRIMISI
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Credential |
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Telephone | 347-455-2935
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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 | B O2704
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License Number State | NY
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