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General NPI Number Information
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NPI Number | 1174347843
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Entity Type | Organization
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Legal Business Name | JLW TRANSPORT & LOGISTICS LLC.
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 22756 TEPPERT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-1928
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Country | US
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Telephone | 586-935-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 22756 TEPPERT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-1928
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Country | US
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Telephone | 586-935-7616
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAKESHA WASHINGTON
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Credential | CNA
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Telephone | 586-935-7616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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