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General NPI Number Information
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NPI Number | 1922447655
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Entity Type | Organization
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Legal Business Name | AAA TAXI LLC
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Dates
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Enumeration Date | 06/15/2013
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Last Update Date | 06/15/2013
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Provider Practice Location Address
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Address Line | 1123 SAGINAW ST
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City | BAY CITY
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State | MI
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Zip | 48708-5618
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Country | US
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Telephone | 989-893-8294
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Fax | 989-894-2315
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Provider Business Mailing Address
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Address Line | 1107 SAGINAW ST
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City | BAY CITY
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State | MI
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Zip | 48708-5618
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Country | US
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Telephone | 989-893-8294
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Fax | 989-894-2315
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY BANASZAK
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Credential |
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Telephone | 989-893-8294
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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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Taxonomy #2
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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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