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General NPI Number Information
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NPI Number | 1831583921
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Entity Type | Organization
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Legal Business Name | DIRECT CARE CARRIER LLC
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 134 PONINGO ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-4010
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Country | US
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Telephone | 914-653-0123
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Fax | 914-819-0833
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Provider Business Mailing Address
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Address Line | 134 PONINGO ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-4010
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Country | US
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Telephone | 914-653-0123
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Fax | 914-819-0833
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Authorized Official
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Title or Position | CEO
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Name | MR. SASHA BILLY GUILLAUME
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Credential |
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Telephone | 914-653-0123
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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 | 00042-15
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License Number State | NY
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