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NPI 1598118556

NPI 1598118556 : ITC. INNOVATIVE TRANSPORTATION CONCEPT : YONKERS, NY

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General NPI Number Information
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    NPI Number           |    1598118556
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    Entity Type          |    Organization 
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    Legal Business Name  |    ITC. INNOVATIVE TRANSPORTATION CONCEPT 
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Dates
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    Enumeration Date     |    07/14/2016
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    Last Update Date     |    07/14/2016
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Provider Practice Location Address
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    Address Line         |    7 CLEVELAND PL 
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10710-1453
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    Country              |    US
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    Telephone            |    914-885-4841
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7 CLEVELAND PL 
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10710-1453
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    Country              |    US
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    Telephone            |    914-885-4841
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. JUDE  VERLUS 
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    Credential           |    
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    Telephone            |    914-885-4841
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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       |    DP-02540-13
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    License Number State |    NY
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