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Contact Information

CLIFFE OBANNER
14600 MONDOUBLEAU LN
FLORISSANT, MO63034-2314
 Phone: 202-378-4864
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Network Company

342000000X
 

Driver

172A00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1356084206
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/19/2022
Last updated 04/19/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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