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General NPI Number Information
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NPI Number | 1578064903
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Entity Type | Organization
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Legal Business Name | CHECKER YELLOW CAB OF JACKSONVILLE, LLC
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 2525 PHILIPS HWY
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3551
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Country | US
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Telephone | 904-854-2628
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Fax | 904-854-2628
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Provider Business Mailing Address
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Address Line | 2525 PHILIPS HWY
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City | JACKSONVILLE
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State | FL
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Zip | 32207-3551
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Country | US
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Telephone | 904-854-2628
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Fax | 904-854-2628
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | DAVID WELLS
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Credential |
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Telephone | 832-506-1030
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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 |
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License Number State |
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