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General NPI Number Information
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NPI Number | 1033795380
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Entity Type | Organization
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Legal Business Name | JAYDS TRANSPORT LLC
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 2444 COMMERCE RD STE 129
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7561
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Country | US
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Telephone | 910-238-4014
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Fax | 910-238-4019
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Provider Business Mailing Address
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Address Line | 2444 COMMERCE RD STE 129
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7561
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Country | US
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Telephone | 910-238-4014
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Fax | 910-238-4019
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Authorized Official
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Title or Position | CEO
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Name | DIONNA M GIPSON
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Credential |
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Telephone | 910-459-3380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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