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General NPI Number Information
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NPI Number | 1063779627
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Entity Type | Organization
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Legal Business Name | JCARES, INC.
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 2806 11TH AVE
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City | OAKLAND
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State | CA
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Zip | 94610-4004
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Country | US
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Telephone | 510-967-7363
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Fax | 888-653-0153
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Provider Business Mailing Address
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Address Line | 699 LEWELLING BLVD # 146-331
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City | SAN LEANDRO
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State | CA
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Zip | 94579-1870
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Country | US
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Telephone | 510-967-7363
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Fax | 888-653-0153
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Authorized Official
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Title or Position | C.E.O.
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Name | QUIANA CANADA
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Credential |
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Telephone | 510-967-7363
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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 |
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