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General NPI Number Information
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NPI Number | 1265849012
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Entity Type | Organization
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Legal Business Name | J & K TRANSPORT, INC.
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 630 S SILVER ST
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City | LOUISVILLE
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State | OH
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Zip | 44641-1857
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Country | US
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Telephone | 330-280-6391
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Fax | 330-871-8717
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Provider Business Mailing Address
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Address Line | 630 S SILVER ST
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City | LOUISVILLE
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State | OH
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Zip | 44641-1857
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Country | US
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Telephone | 330-280-6391
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Fax | 330-871-8717
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES F. FARRELL
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Credential |
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Telephone | 330-280-6391
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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 | 765355
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License Number State | OH
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