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General NPI Number Information
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NPI Number | 1265744346
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Entity Type | Organization
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Legal Business Name | JRS JUNIOR NON MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 23737 US HIGHWAY 33 SUITE B1
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City | ELKHART
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State | IN
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Zip | 46517-3564
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Country | US
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Telephone | 574-875-4019
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Fax | 574-875-7007
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Provider Business Mailing Address
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Address Line | 23737 US HIGHWAY 33 SUITE B1
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City | ELKHART
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State | IN
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Zip | 46517-3564
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Country | US
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Telephone | 574-875-4019
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Fax | 574-875-7007
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Authorized Official
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Title or Position | PARTNER
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Name | MR. JAMES R SMITH JR.
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Credential |
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Telephone | 574-875-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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