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General NPI Number Information
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NPI Number | 1407404932
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Entity Type | Organization
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Legal Business Name | GREENWICH TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 2 GREENWICH PLZ
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City | GREENWICH
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State | CT
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Zip | 06830-6353
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Country | US
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Telephone | 203-808-0895
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Fax |
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Provider Business Mailing Address
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Address Line | 2 APPLEWOOD DR
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City | SHELTON
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State | CT
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Zip | 06484-2009
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Country | US
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Telephone | 203-980-2959
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGING MEMBER
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Name | CHRISTINA BOSKELLO
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Credential |
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Telephone | 203-980-2959
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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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