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General NPI Number Information
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NPI Number | 1578965018
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Entity Type | Organization
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Legal Business Name | CALDER CITY TAXI
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 146 PLEASANT ST SW
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-5130
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Country | US
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Telephone | 616-454-8080
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Fax | 616-456-9509
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Provider Business Mailing Address
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Address Line | PO BOX T
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City | GRAND RAPIDS
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State | MI
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Zip | 49501-4920
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Country | US
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Telephone | 616-451-2956
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Fax | 616-454-8262
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KAREN HUYSER
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Credential |
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Telephone | 616-451-2956
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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 | TC-14-0562
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License Number State | MI
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