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General NPI Number Information
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NPI Number | 1497540678
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Entity Type | Organization
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Legal Business Name | JKD ENTERPRISES LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 3124 VANCOUVER DR
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City | BATON ROUGE
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State | LA
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Zip | 70819-1851
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Country | US
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Telephone | 225-620-6137
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41401
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City | BATON ROUGE
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State | LA
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Zip | 70835-1401
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Country | US
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Telephone | 225-610-0586
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIMBERLY BUTLER
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Credential |
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Telephone | 225-610-0586
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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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