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General NPI Number Information
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NPI Number | 1780064774
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Entity Type | Organization
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Legal Business Name | J MAE TRANSPORTATION
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 28 N WHITNEY ST APT 404
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City | ST AUGUSTINE
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State | FL
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Zip | 32084
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Country | US
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Telephone | 386-225-0504
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Fax | 866-760-4381
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Provider Business Mailing Address
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Address Line | 28 N WHITNEY ST APT 404
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City | ST AUGUSTINE
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State | FL
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Zip | 32084
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Country | US
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Telephone | 386-225-0504
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Fax | 866-760-4381
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Authorized Official
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Title or Position | OWNER, MANAGER, OPERATOR
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Name | MR. JONATHAN BROWN
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Credential |
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Telephone | 386-225-0504
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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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