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General NPI Number Information
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NPI Number | 1003267014
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Entity Type | Organization
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Legal Business Name | JAUREGUI LOGISTICS LLC
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 309 STEPNEY ST APT 1
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City | INGLEWOOD
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State | CA
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Zip | 90302-5655
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Country | US
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Telephone | 310-773-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 309 STEPNEY ST APT 1
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City | INGLEWOOD
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State | CA
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Zip | 90302-5655
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Country | US
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Telephone | 310-773-2929
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHANN SCATT JAUREGUI
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Credential |
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Telephone | 310-773-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | BL-LIC-032253
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License Number State | CA
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