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General NPI Number Information
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NPI Number | 1891488052
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Entity Type | Organization
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Legal Business Name | CLARK COUNTY CAB LLC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 11406 NE ROSEWOOD AVE STE L
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City | VANCOUVER
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State | WA
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Zip | 98662-5462
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Country | US
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Telephone | 360-737-3333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2135
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City | WOODLAND
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State | WA
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Zip | 98674-0020
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Country | US
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Telephone | 360-737-3333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER L SMITH
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Credential |
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Telephone | 360-977-1179
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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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