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General NPI Number Information
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NPI Number | 1497081186
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Entity Type | Organization
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Legal Business Name | JOINER ENTERPRISES INC
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 10/30/2009
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Provider Practice Location Address
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Address Line | 7650 S. YATES
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City | CHICAGO
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State | IL
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Zip | 60649-4127
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Country | US
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Telephone | 773-221-4562
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Fax | 773-734-9425
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Provider Business Mailing Address
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Address Line | 7650 S YATES BLVD
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City | CHICAGO
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State | IL
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Zip | 60649-4127
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Country | US
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Telephone | 773-221-4562
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Fax | 773-734-9425
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MR. LAMAR JOINER
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Credential |
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Telephone | 773-221-4562
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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 | 412205
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License Number State | IL
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