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General NPI Number Information
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NPI Number | 1952744674
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Entity Type | Organization
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Legal Business Name | EWASTEDISPOSAL
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 19782 MACARTHUR BLVD SUITE 250
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City | IRVINE
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State | CA
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Zip | 92612-2452
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Country | US
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Telephone | 949-466-8857
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Fax | 949-242-2479
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Provider Business Mailing Address
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Address Line | 19782 MACARTHUR BLVD SUITE 250
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City | IRVINE
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State | CA
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Zip | 92612-2452
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Country | US
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Telephone | 949-466-8857
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Fax | 949-242-2479
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS MICHAEL ABERCROMBIE
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Credential |
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Telephone | 949-466-8857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 46015
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License Number State | CA
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