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General NPI Number Information
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NPI Number | 1588184519
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Entity Type | Organization
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Legal Business Name | COLLEGETOWN CAB INC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 704 W BUFFALO ST
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City | ITHACA
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State | NY
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Zip | 14850-3300
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Country | US
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Telephone | 203-858-2135
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Fax | 607-697-0489
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Provider Business Mailing Address
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Address Line | 618 ELMIRA RD
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City | ITHACA
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State | NY
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Zip | 14850-8745
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Country | US
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Telephone | 203-858-2135
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Fax | 607-697-0489
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Authorized Official
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Title or Position | OWNER
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Name | MR. PAUL H KRIEGSTEIN
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Credential |
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Telephone | 203-858-2135
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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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