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General NPI Number Information
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NPI Number | 1508349283
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Entity Type | Organization
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Legal Business Name | LJ TRANSPORTATION SERVICE
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 123 SOBIESKI ST
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City | BUFFALO
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State | NY
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Zip | 14212
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Country | US
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Telephone | 716-424-5743
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Fax | 716-833-1359
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Provider Business Mailing Address
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Address Line | 123 SOBIESKI ST
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City | BUFFALO
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State | NY
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Zip | 14212
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Country | US
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Telephone | 716-424-5743
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Fax | 716-833-1359
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Authorized Official
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Title or Position | OWNER
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Name | MR. LAWRENCE MICHAEL JACKSON
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Credential | LAWRENCE M. JACKSON
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Telephone | 716-424-5743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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