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NPI 1750873477

NPI 1750873477 : NEW WORCESTER YELLOW CAB, INC. : WORCESTER, MA

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General NPI Number Information
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    NPI Number           |    1750873477
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW WORCESTER YELLOW CAB, INC. 
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Dates
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    Enumeration Date     |    05/30/2018
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    Last Update Date     |    05/30/2018
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Provider Practice Location Address
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    Address Line         |    7 S CRYSTAL ST 
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    City                 |    WORCESTER
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    State                |    MA
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    Zip                  |    01603-2825
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    Country              |    US
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    Telephone            |    508-797-3115
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    Fax                  |    508-753-3640
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Provider Business Mailing Address
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    Address Line         |    7 S CRYSTAL ST 
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    City                 |    WORCESTER
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    State                |    MA
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    Zip                  |    01603-2825
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    Country              |    US
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    Telephone            |    508-797-3115
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    Fax                  |    508-753-3640
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. WILLIAM  CLARK 
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    Credential           |    
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    Telephone            |    508-797-3115
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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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