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General NPI Number Information
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NPI Number | 1528306420
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Entity Type | Organization
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Legal Business Name | THORNWELL TAXI
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 19 CROSSMAN AVE
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City | BUFFALO
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State | NY
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Zip | 14211-2106
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Country | US
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Telephone | 716-895-1870
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Fax | 716-895-1802
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Provider Business Mailing Address
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Address Line | 19 CROSSMAN AVE
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City | BUFFALO
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State | NY
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Zip | 14211-2106
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Country | US
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Telephone | 716-895-1870
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Fax | 716-895-1802
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | AARON D THORNWELL SR.
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Credential |
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Telephone | 716-895-1870
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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 | 183791
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 556845603
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License Number State | NY
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