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NPI Code Detail

MEDICARE: AAA TAXI LLC

MEDICARE: AAA TAXI LLC
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
1344600000XTaxi
2343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1922447655
Entity Type Code : Organization
Provider Name (Legal Business Name) : AAA TAXI LLC
Provider Business Mailing Address
First Line : 1107 SAGINAW ST
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5618
Country : US
Telephone Number : 989-893-8294
Fax Number : 989-894-2315
Provider Business Practice Location Address
First Line : 1123 SAGINAW ST
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5618
Country : US
Telephone Number : 989-893-8294
Fax Number : 989-894-2315
Authorized Official
Title or Position : OWNER
Name : TIMOTHY BANASZAK
Credential :
Telephone Number : 989-893-8294
Provider Enumeration Date : 06/15/2013
Last Update Date : 06/15/2013

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Directions to “AAA TAXI LLC ” Practice Location

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