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General NPI Number Information
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NPI Number | 1043444656
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Entity Type | Organization
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Legal Business Name | K & J TRANSPORTATION, INC.
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 4909 S KING DR APT 3
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City | CHICAGO
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State | IL
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Zip | 60615-2305
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Country | US
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Telephone | 773-675-6911
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Fax | 773-924-5582
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Provider Business Mailing Address
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Address Line | 4909 S KING DR APT 3
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City | CHICAGO
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State | IL
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Zip | 60615-2305
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Country | US
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Telephone | 773-675-6911
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Fax | 773-924-5582
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Authorized Official
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Title or Position | BUSINESS OWNER/CEO
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Name | MISS KIMBERLY MICHELLE PARKER
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Credential |
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Telephone | 773-675-6911
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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 | IL
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