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General NPI Number Information
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NPI Number | 1407381684
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Entity Type | Organization
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Legal Business Name | TROJAN TAXI
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 264 3RD AVE
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City | TROY
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State | NY
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Zip | 12182-3304
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Country | US
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Telephone | 518-233-4913
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Fax | 518-203-7014
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Provider Business Mailing Address
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Address Line | 264 3RD AVE
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City | TROY
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State | NY
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Zip | 12182-3304
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Country | US
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Telephone | 518-233-4913
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Fax | 518-203-7014
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. KIMBERLY LOUISE BROWN
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Credential | CO-OWNER
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Telephone | 518-233-4913
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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 |
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License Number State |
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