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General NPI Number Information
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NPI Number | 1598147498
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Entity Type | Organization
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Legal Business Name | THJ TRANSPORT, LLC
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 19506 INDUSTRIAL DR STE C2
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City | SONORA
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State | CA
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Zip | 95370-9213
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Country | US
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Telephone | 209-984-3333
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Fax | 209-965-7035
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Provider Business Mailing Address
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Address Line | PO BOX 5493
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City | SONORA
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State | CA
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Zip | 95370-2493
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Country | US
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Telephone | 209-984-3333
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Fax | 209-965-7035
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Authorized Official
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Title or Position | OWNER
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Name | TODD A JOHNSON
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Credential |
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Telephone | 209-768-9637
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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 | B9461268
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | B9461268
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License Number State | CA
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