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General NPI Number Information
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NPI Number | 1558048389
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Entity Type | Organization
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Legal Business Name | MJSK TRANSPORTATION LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 5314 RANDOLPH BLVD APT 208
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City | SAN ANTONIO
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State | TX
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Zip | 78233-6238
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Country | US
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Telephone | 210-237-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 508 PAT BOOKER RD # 5109
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-4434
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MAHMOUD AMADU KARGBO
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Credential |
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Telephone | 210-237-3800
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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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