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General NPI Number Information
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NPI Number | 1760810899
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Entity Type | Organization
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Legal Business Name | HOMETOWN TAXI INC.
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 176 MARINER DR
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-3479
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Country | US
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Telephone | 631-287-5200
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Fax | 631-287-1477
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Provider Business Mailing Address
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Address Line | 176 MARINER DR
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-3479
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Country | US
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Telephone | 631-287-5200
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Fax | 631-287-1477
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRYAN ANTHONY DAPARMA
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Credential |
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Telephone | 631-287-5200
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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 | 02580207
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 02580207
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License Number State | NY
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