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General NPI Number Information
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NPI Number | 1437608882
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Entity Type | Organization
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Legal Business Name | NEW YELLOW CAB, LLC
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 1515 6TH ST SE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-6504
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Country | US
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Telephone | 434-295-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 6TH ST SE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-6504
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Country | US
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Telephone | 434-295-4131
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MR. WILLIAM FORREST VAN DER LINDE
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Credential |
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Telephone | 434-989-3210
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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 | 23693
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License Number State | VA
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