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General NPI Number Information
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NPI Number | 1366089260
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Entity Type | Organization
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Legal Business Name | J J TRANSPORTS
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 196 W SANDALWOOD CT
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City | DAYTONA BEACH
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State | FL
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Zip | 32119-1493
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Country | US
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Telephone | 904-553-2403
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Fax |
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Provider Business Mailing Address
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Address Line | 11695 LAKE RIDE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32223-7413
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Country | US
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Telephone | 904-553-2403
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE MARIE ABERCROMBIE
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Credential | OWNER
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Telephone | 904-553-2403
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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 |
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License Number State |
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