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General NPI Number Information
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NPI Number | 1629830419
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Entity Type | Organization
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Legal Business Name | DRAKES CARE CAB LLC
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 6290 W 900 S
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City | WARREN
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State | IN
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Zip | 46792-9729
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Country | US
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Telephone | 833-644-9994
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Fax | 765-205-8131
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Provider Business Mailing Address
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Address Line | 6290 W 900 S
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City | WARREN
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State | IN
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Zip | 46792-9729
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Country | US
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Telephone | 833-644-9994
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Fax | 765-205-8131
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | RENAE MICHELLE DRAKE
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Credential | RN
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Telephone | 833-644-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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