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General NPI Number Information
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NPI Number | 1831672765
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Entity Type | Organization
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Legal Business Name | INDEPENDENT RADIO TAXI, INC.
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 308 1/2 W FEDERAL ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44503-1118
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Country | US
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Telephone | 330-746-8844
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Fax | 330-746-5653
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Provider Business Mailing Address
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Address Line | PO BOX 1134
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City | YOUNGSTOWN
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State | OH
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Zip | 44501-1134
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Country | US
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Telephone | 330-746-8844
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Fax | 330-746-5653
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Authorized Official
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Title or Position | MANAGER
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Name | DAVENE PARKS
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Credential |
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Telephone | 330-746-8844
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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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