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General NPI Number Information
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NPI Number | 1013371764
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Entity Type | Organization
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Legal Business Name | JJ O'NEILL TRANSPORT INC.
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | CARRETERA 173 RAMAL 792 KM 3.0 BARRIO SANADURA
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-8341
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Country | US
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Telephone | 939-579-2277
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Fax | 787-732-1298
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Provider Business Mailing Address
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Address Line | HC 3 BOX 14514
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-8341
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Country | US
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Telephone | 939-579-2277
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JONATHAN O'NEILL ALFARO
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Credential |
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Telephone | 939-579-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | PR
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