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General NPI Number Information
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NPI Number | 1710439583
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Entity Type | Organization
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Legal Business Name | KJ TRANSPORTATION C
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 11 E 213 SST
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City | BRONX
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State | NY
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Zip | 10467
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Country | US
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Telephone | 718-933-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 11 E 213TH ST
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City | BRONX
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State | NY
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Zip | 10467-1101
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Country | US
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Telephone | 718-933-3333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORGELINA ABREU
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Credential |
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Telephone | 718-933-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | B02688
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License Number State | NY
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