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General NPI Number Information
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NPI Number | 1578990180
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Entity Type | Organization
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Legal Business Name | MY PERSONAL TAXI & LIVERY, INC.
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Dates
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Enumeration Date | 09/28/2013
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Last Update Date | 09/28/2013
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Provider Practice Location Address
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Address Line | 1275 BUTTERFIELD RD STE 100D
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City | WHEATON
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State | IL
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Zip | 60189-8849
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Country | US
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Telephone | 630-338-3403
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Fax | 630-206-0195
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Provider Business Mailing Address
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Address Line | 1 LINCOLN CTR STE 1500
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4272
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Country | US
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Telephone | 630-338-3403
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Fax | 630-206-0195
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. DEIDRE PINNICK
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Credential |
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Telephone | 630-338-3403
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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 | 22996LY
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License Number State | IL
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