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General NPI Number Information
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NPI Number | 1538650551
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Entity Type | Organization
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Legal Business Name | MILE HIGH LIMO LLC.
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 4974 EUREKA CT
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City | DENVER
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State | CO
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Zip | 80239-4274
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Country | US
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Telephone | 720-331-9533
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Fax | 720-428-8336
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Provider Business Mailing Address
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Address Line | 4974 EUREKA CT
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City | DENVER
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State | CO
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Zip | 80239-4274
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Country | US
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Telephone | 720-331-9533
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Fax | 720-428-8336
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADEMASU M CHEKOLE I
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Credential | PROVIDERS
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Telephone | 720-331-9533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 20141668889
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License Number State | CO
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