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General NPI Number Information
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NPI Number | 1871076091
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Entity Type | Organization
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Legal Business Name | FAST BLACK TAXI LLC
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 3823 EGGEMAN AVE
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City | TOLEDO
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State | OH
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Zip | 43612-1239
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Country | US
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Telephone | 844-355-3279
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Fax |
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Provider Business Mailing Address
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Address Line | 246 CHARLES ST
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City | TOLEDO
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State | OH
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Zip | 43609-2302
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Country | US
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Telephone | 419-297-8844
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BRUCE LLOYD
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Credential |
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Telephone | 419-297-8844
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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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