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NPI 1396915757

NPI 1396915757 : CHECKER CAB CO. OF STEUBENVILLE, INC : STEUBENVILLE, OH

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General NPI Number Information
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    NPI Number           |    1396915757
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHECKER CAB CO. OF STEUBENVILLE, INC 
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Dates
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    Enumeration Date     |    03/01/2008
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    Last Update Date     |    03/01/2008
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Provider Practice Location Address
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    Address Line         |    1439 SUNSET BLVD 
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    City                 |    STEUBENVILLE
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    State                |    OH
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    Zip                  |    43952-1521
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    Country              |    US
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    Telephone            |    740-283-3681
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    Fax                  |    740-282-8730
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Provider Business Mailing Address
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    Address Line         |    1439 SUNSET BLVD 
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    City                 |    STEUBENVILLE
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    State                |    OH
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    Zip                  |    43952-1521
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    Country              |    US
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    Telephone            |    740-283-3681
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    Fax                  |    740-282-8730
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    MR. ROBERT  HERCEG 
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    Credential           |    
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    Telephone            |    740-283-3681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    347E00000X
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    Taxonomy Name        |    Transportation Broker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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