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General NPI Number Information
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NPI Number | 1952884082
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Entity Type | Organization
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Legal Business Name | EAST END BUGEE TRANSPORT LLC
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 74365 MAIN ST
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City | GREENPORT
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State | NY
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Zip | 11944-2622
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Country | US
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Telephone | 631-333-2801
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1848
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City | SHELTER ISLAND
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State | NY
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Zip | 11964-1848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JEFFREY SOBEJANA
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Credential |
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Telephone | 631-680-6870
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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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