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General NPI Number Information
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NPI Number | 1336641851
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Entity Type | Organization
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Legal Business Name | MJSC PROFESSIONAL SERVICES, LLC
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 920 TAMPA ST
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City | TALLULAH
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State | LA
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Zip | 71282-5040
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Country | US
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Telephone | 318-703-8288
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Fax | 800-613-4669
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Provider Business Mailing Address
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Address Line | 1818 HIGHWAY 134
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City | MONROE
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State | LA
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Zip | 71203-6774
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Country | US
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Telephone | 318-703-8288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARKITA WASHINGTON
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Credential |
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Telephone | 318-703-8288
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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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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 |
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License Number State |
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