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General NPI Number Information
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NPI Number | 1497280846
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Entity Type | Organization
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Legal Business Name | METRO CAB LLC
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 6405 W 46TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57106-1209
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Country | US
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Telephone | 605-351-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 6405 W 46TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57106-1209
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Country | US
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Telephone | 605-351-6789
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN HODGSON
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Credential |
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Telephone | 605-351-6789
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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 | VFH004498
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License Number State | SD
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