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General NPI Number Information
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NPI Number | 1285009829
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Entity Type | Organization
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Legal Business Name | JIFF XPRESS LLC.
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 438 STUYVESANT AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-2347
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Country | US
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Telephone | 201-580-9197
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Fax |
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Provider Business Mailing Address
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Address Line | 438 STUYVESANT AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-2347
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Country | US
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Telephone | 201-580-9197
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELIX MANUEL ACEVEDO JR.
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Credential |
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Telephone | 201-580-9197
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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 | A12242597401662
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License Number State | NJ
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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 | A12242597401662
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License Number State | NJ
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