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General NPI Number Information
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NPI Number | 1467452714
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Entity Type | Organization
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Legal Business Name | J&C AMBULANCE SERVICE, INC.
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 7100 WHIPPLE AVENUE NW SUITE G
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City | NORTH CANTON
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State | OH
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Zip | 44720-7167
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Country | US
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Telephone | 330-899-0022
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Fax | 330-484-2932
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Provider Business Mailing Address
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Address Line | 7100 WHIPPLE AVENUE NW SUITE G
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City | NORTH CANTON
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State | OH
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Zip | 44720-7167
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Country | US
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Telephone | 330-899-0022
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Fax | 330-484-2932
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Authorized Official
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Title or Position | OWNER
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Name | MR. KENNETH JACOB JOSEPH
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Credential |
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Telephone | 330-899-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 760082
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License Number State | OH
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