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General NPI Number Information
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NPI Number | 1487451282
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Entity Type | Organization
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Legal Business Name | J. MEDI TRANSPORT
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2106 PORTSMOUTH DR
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City | RICHARDSON
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State | TX
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Zip | 75082-4838
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Country | US
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Telephone | 919-986-2092
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 PORTSMOUTH DR
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City | RICHARDSON
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State | TX
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Zip | 75082-4838
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Country | US
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Telephone | 919-986-2092
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JENNIFER CHANA HINES
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Credential | MD, MBA
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Telephone | 919-986-2092
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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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