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General NPI Number Information
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NPI Number | 1891516936
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Entity Type | Organization
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Legal Business Name | CAVE CREEK LIMOUSINE LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 11 E SUNDIAL CIR
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City | CAREFREE
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State | AZ
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Zip | 85377-9671
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Country | US
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Telephone | 602-767-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 29862 N TATUM BLVD APT 2048
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2377
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Country | US
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Telephone | 619-981-1996
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MAXX RYAN ANDERSON
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Credential |
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Telephone | 602-767-2640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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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