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General NPI Number Information
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NPI Number | 1952843351
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Entity Type | Organization
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Legal Business Name | KEUKA TAXI LLC
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 2076 TOWNSEND RD
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City | PENN YAN
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State | NY
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Zip | 14527-8711
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Country | US
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Telephone | 607-275-7728
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Fax | 315-694-7132
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Provider Business Mailing Address
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Address Line | 2076 TOWNSEND RD
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City | PENN YAN
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State | NY
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Zip | 14527-8711
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Country | US
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Telephone | 607-275-7728
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Fax | 315-694-7132
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Authorized Official
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Title or Position | MEMBER
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Name | TERESA A VIVIER
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Credential |
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Telephone | 607-275-7728
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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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