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General NPI Number Information
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NPI Number | 1326821745
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Entity Type | Organization
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Legal Business Name | JGS TRANSPORTATION SERVICE, LLC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 7526 ADDISON WAY
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City | SACRAMENTO
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State | CA
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Zip | 95822-5609
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Country | US
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Telephone | 916-690-9178
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Fax |
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Provider Business Mailing Address
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Address Line | 3044 SWALLOWS NEST DR
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City | SACRAMENTO
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State | CA
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Zip | 95833-9718
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Country | US
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Telephone | 916-690-9178
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JESSE GEORGE SHAVER JR.
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Credential |
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Telephone | 916-690-9178
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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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