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General NPI Number Information
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NPI Number | 1215731872
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Entity Type | Organization
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Legal Business Name | KENHORN JUBA LOGISTICS LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 3203 RIVERVIEW PL APT A
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City | COLUMBUS
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State | OH
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Zip | 43202-1532
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Country | US
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Telephone | 614-339-9826
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Fax |
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Provider Business Mailing Address
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Address Line | 3203 RIVERVIEW PL APT A
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City | COLUMBUS
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State | OH
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Zip | 43202-1532
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Country | US
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Telephone | 614-339-9826
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. HAMZA H FARAH
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Credential | MD
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Telephone | 614-339-9826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health 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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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