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General NPI Number Information
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NPI Number | 1992471304
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Entity Type | Organization
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Legal Business Name | LIR TRANSPORTATION DBA FOX VALLEY CAB
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 719 W FRANCES ST
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City | APPLETON
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State | WI
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Zip | 54914-2365
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Country | US
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Telephone | 920-734-4545
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Fax | 920-734-0557
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Provider Business Mailing Address
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Address Line | 719 W FRANCES ST
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City | APPLETON
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State | WI
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Zip | 54914-2365
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Country | US
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Telephone | 920-734-4545
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Fax | 920-734-0557
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Authorized Official
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Title or Position | SUPPORT MANAGER
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Name | DANIEL WILLIAM GLASHEEN
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Credential |
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Telephone | 920-734-4545
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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 |
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License Number State |
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Taxonomy #2
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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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