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General NPI Number Information
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NPI Number | 1881191005
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Entity Type | Organization
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Legal Business Name | AWASH TAXI LLC
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 1916 W ST JOESPH ST
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City | TAMPA
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State | FL
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Zip | 33607-3360
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Country | US
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Telephone | 813-389-5611
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 W SAINT JOSEPH ST
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City | TAMPA
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State | FL
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Zip | 33607-2040
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Country | US
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Telephone | 813-389-5611
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Fax | 813-488-4637
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Authorized Official
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Title or Position | OWNER
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Name | MR. GETNET A BERHANE SR.
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Credential |
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Telephone | 813-389-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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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 |
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License Number State |
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