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General NPI Number Information
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NPI Number | 1740732577
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Entity Type | Organization
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Legal Business Name | JEFFCO SERVICES
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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 | 256 JOHN SCOTT HWY
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City | STEUBENVILLE
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State | OH
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Zip | 43952-3001
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Country | US
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Telephone | 740-264-4608
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Fax | 740-264-1810
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Provider Business Mailing Address
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Address Line | 250 JOHN SCOTT HIGHWAY
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City | STEUBENVILLE
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State | OH
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Zip | 43952
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Country | US
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Telephone | 740-264-4608
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Fax | 740-264-1810
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Authorized Official
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Title or Position | CEO
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Name | MR. BRENTON RAY MARTIN
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Credential |
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Telephone | 740-264-4608
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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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