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General NPI Number Information
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NPI Number | 1407389158
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Entity Type | Organization
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Legal Business Name | HOOSIER TAXI INC
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 110 N MICHIGAN ST
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City | LAKEVILLE
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State | IN
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Zip | 46536-7701
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Country | US
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Telephone | 574-386-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 110 N MICHIGAN ST PO BOX 525
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City | LAKEVILLE
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State | IN
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Zip | 46536-7701
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Country | US
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Telephone | 574-386-9333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MUHAMMAD CHADDHER
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Credential |
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Telephone | 574-386-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 34
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License Number State | IN
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