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NPI Code Detail

MEDICARE: GOLDEN EAGLE TAXI CORPORATION

MEDICARE: GOLDEN EAGLE TAXI CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1344600000XTaxi4977751NC

General Provider Information

NPI Number : 1568714434
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN EAGLE TAXI CORPORATION
Provider Business Mailing Address
First Line : 1606 E WEBB AVE
Second Line :
City : BURLINGTON
State : NC
Zip : 27217-7414
Country : US
Telephone Number : 336-227-0550
Fax Number : 336-227-8898
Provider Business Practice Location Address
First Line : 1606 E WEBB AVE
Second Line :
City : BURLINGTON
State : NC
Zip : 27217-7414
Country : US
Telephone Number : 336-227-0550
Fax Number : 336-227-8898
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. DWAYNE VINCENT MCINTYRE
Credential :
Telephone Number : 336-669-2773
Provider Enumeration Date : 10/02/2012
Last Update Date : 10/02/2012

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Directions to “GOLDEN EAGLE TAXI CORPORATION ” Practice Location

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