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NPI 1932721172

NPI 1932721172 : KNP LUXURY LIMOUSINE : MOUNT VERNON, NY

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General NPI Number Information
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    NPI Number           |    1932721172
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    Entity Type          |    Organization 
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    Legal Business Name  |    KNP LUXURY LIMOUSINE 
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Dates
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    Enumeration Date     |    05/11/2020
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    Last Update Date     |    05/11/2020
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Provider Practice Location Address
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    Address Line         |    374 HAWTHORNE TER 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10552-2426
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    Country              |    US
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    Telephone            |    917-681-6971
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    Fax                  |    914-664-7918
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Provider Business Mailing Address
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    Address Line         |    374 HAWTHORNE TER 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10552-2426
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    Country              |    US
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    Telephone            |    917-681-6971
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    Fax                  |    914-664-7918
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     PETER  LUANGISA 
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    Credential           |    
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    Telephone            |    917-681-6971
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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        |    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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