=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376927046
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALLEY CAB LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2015
-----------------------------------------------------
Last Update Date | 07/13/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1622 COUNTRY CLUB RD
-----------------------------------------------------
City | HARRISONBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22802-8862
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-564-1214
-----------------------------------------------------
Fax | 540-564-1313
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1622 COUNTRY CLUB RD
-----------------------------------------------------
City | HARRISONBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22802-8862
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-564-1214
-----------------------------------------------------
Fax | 540-564-1313
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COMPANY OWNER
-----------------------------------------------------
Name | MR. MUSA ABBAS SYED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 540-435-1414
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------