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General NPI Number Information
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NPI Number | 1649938762
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Entity Type | Organization
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Legal Business Name | MAC TRANSIT
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 2898 LEXINGTON AVE NW
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City | WARREN
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State | OH
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Zip | 44485-1587
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Country | US
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Telephone | 412-606-6781
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Fax |
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Provider Business Mailing Address
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Address Line | 2898 LEXINGTON AVE NW
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City | WARREN
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State | OH
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Zip | 44485-1587
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Country | US
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Telephone | 412-606-6781
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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. DONALD JAMAAL MCEACHERN
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Credential |
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Telephone | 412-606-6781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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