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General NPI Number Information
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NPI Number | 1669928826
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Entity Type | Organization
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Legal Business Name | EAGLE TAXI AND LIMO INC
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 1304 E LAKE ST SUITE 100
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1776
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Country | US
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Telephone | 612-222-1428
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Fax |
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Provider Business Mailing Address
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Address Line | 1304 E LAKE ST SUITE 100
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1776
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Country | US
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Telephone | 612-222-1428
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NIEVES IRENE RIERA
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Credential |
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Telephone | 612-222-1428
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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 | 867929000037
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License Number State | MN
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