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General NPI Number Information
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NPI Number | 1427474576
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Entity Type | Organization
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Legal Business Name | SJM TRANSPORT
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 634 KILANI AVENUE
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City | WAHIAWA
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State | HAWAII
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Zip | 96786
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Country | UM
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Telephone | 808-388-8305
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Fax | 808-678-3325
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Provider Business Mailing Address
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Address Line | 94801 FARRINGTON HWY SUITE 204
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City | WAIPAHU
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State | HI
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Zip | 96797
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Country | US
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Telephone | 808-388-8305
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Fax | 808-678-3325
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Authorized Official
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Title or Position | MANAGER
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Name | MR. STANLEY PERPIGNAN
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Credential |
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Telephone | 808-388-8305
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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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