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General NPI Number Information
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NPI Number | 1114471380
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Entity Type | Organization
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Legal Business Name | CJ MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 2311 W CONE BLVD SUITE 150
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City | GREENSBORO
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State | NC
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Zip | 27408-4042
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Country | US
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Telephone | 336-656-9888
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Fax | 336-419-0260
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Provider Business Mailing Address
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Address Line | 2311 W CONE BLVD SUITE 150
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City | GREENSBORO
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State | NC
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Zip | 27408-4042
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Country | US
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Telephone | 336-656-9888
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Fax | 336-419-0260
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | CYNTHIA LYNNE HACKWORTH
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Credential |
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Telephone | 336-656-9888
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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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