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General NPI Number Information
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NPI Number | 1821473646
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Entity Type | Organization
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Legal Business Name | T.G.C TRANSPORTATION INC
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 145 BROOKSIDE AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10553-1347
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Country | US
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Telephone | 619-253-6590
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Fax | 914-665-3130
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Provider Business Mailing Address
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Address Line | 145 BROOKSIDE AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10553-1347
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Country | US
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Telephone | 619-253-6590
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Fax | 914-665-3130
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DURVIJAI PERSAUD
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Credential |
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Telephone | 619-253-6590
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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 | 03721175
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License Number State | NY
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