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General NPI Number Information
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NPI Number | 1710786173
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Entity Type | Organization
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Legal Business Name | JC BLESSINGS TRANSPORT, LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 8120 DAVE MCKINNEY AVE UNIT 3005
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City | CHARLOTTE
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State | NC
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Zip | 28213-5453
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Country | US
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Telephone | 704-712-6035
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 620991
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City | CHARLOTTE
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State | NC
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Zip | 28262-0116
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Country | US
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Telephone | 704-712-6035
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LULA VERLENE MITCHELL
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Credential |
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Telephone | 704-712-6035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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