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General NPI Number Information
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NPI Number | 1720769565
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Entity Type | Organization
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Legal Business Name | JTCS TOWING & RECOVERY LLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 24805 COUNTY HIGHWAY 28
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City | KEWANEE
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State | IL
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Zip | 61443-9017
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Country | US
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Telephone | 309-540-9392
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Fax |
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Provider Business Mailing Address
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Address Line | 24805 COUNTY HIGHWAY 28
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City | KEWANEE
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State | IL
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Zip | 61443-9017
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Country | US
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Telephone | 309-525-2426
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TINA CHAMBERLAIN
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Credential | TAXI DRIVER
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Telephone | 309-525-2426
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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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