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General NPI Number Information
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NPI Number | 1972668333
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Entity Type | Organization
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Legal Business Name | STEVE'S CLASSIC TAXI
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 32 W MAIN ST
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City | CAMBRIDGE
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State | NY
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Zip | 12816-1143
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Country | US
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Telephone | 518-677-2503
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Fax | 518-677-5435
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Provider Business Mailing Address
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Address Line | 32 W MAIN ST
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City | CAMBRIDGE
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State | NY
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Zip | 12816-1143
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Country | US
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Telephone | 518-677-2503
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Fax | 518-677-5435
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN D MERRIMAN
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Credential |
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Telephone | 518-677-2503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 579436117
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License Number State | NY
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