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General NPI Number Information
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NPI Number | 1912273202
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Entity Type | Organization
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Legal Business Name | GUARDIAN PARATRANSIT, INC.
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 410 CATHERINE ST
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City | UTICA
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State | NY
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Zip | 13501-1211
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Country | US
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Telephone | 315-733-3351
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Fax |
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Provider Business Mailing Address
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Address Line | 410 CATHERINE ST
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City | UTICA
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State | NY
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Zip | 13501-1211
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Country | US
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Telephone | 315-733-3351
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Fax |
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | JEFFREY KUNKEL
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Credential |
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Telephone | 315-733-3351
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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 | 02099
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License Number State | NY
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