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General NPI Number Information
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NPI Number | 1528602570
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Entity Type | Organization
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Legal Business Name | VASTAGO TRANSPORTATION INC
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Dates
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Enumeration Date | 11/02/2019
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Last Update Date | 11/02/2019
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Provider Practice Location Address
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Address Line | 239 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10705-4419
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Country | US
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Telephone | 646-671-3009
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Fax | 914-770-3332
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Provider Business Mailing Address
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Address Line | 239 MCLEAN AVE
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City | YONKERS
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State | NY
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Zip | 10705-4419
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Country | US
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Telephone | 914-770-3330
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Fax | 914-770-3332
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Authorized Official
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Title or Position | OWNER
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Name | JOSE MADERA
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Credential |
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Telephone | 914-770-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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