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General NPI Number Information
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NPI Number | 1487635116
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Entity Type | Organization
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Legal Business Name | JAN-CARE AMBULANCE OF NICHOLAS CO, INC
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 117 SOUTH FAYETTE STREET
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City | BECKLEY
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State | WV
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Zip | 25801-9056
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Country | US
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Telephone | 304-255-2931
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Fax | 304-255-0222
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Provider Business Mailing Address
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Address Line | PO BOX 2414
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City | BECKLEY
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State | WV
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Zip | 25802-2414
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Country | US
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Telephone | 304-255-2931
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Fax | 304-255-0222
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JOSEPH T CORNETT
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Credential |
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Telephone | 304-255-2931
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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 |
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License Number State | WV
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