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General NPI Number Information
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NPI Number | 1932674207
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Entity Type | Organization
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Legal Business Name | RC ENTERPRISE LLC
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 581 S RANGELINE RD STE B2
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City | CARMEL
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State | IN
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Zip | 46032-2149
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Country | US
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Telephone | 317-225-6747
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Fax | 317-947-1722
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Provider Business Mailing Address
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Address Line | 1389 W 86TH ST # 143
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2101
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Country | US
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Telephone | 317-935-5628
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Fax | 317-225-6747
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Authorized Official
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Title or Position | CEO
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Name | MARK CABBELL
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Credential |
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Telephone | 317-225-6747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured 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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #4
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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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