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General NPI Number Information
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NPI Number | 1780493205
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Entity Type | Organization
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Legal Business Name | KJC UNLIMITED
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 67 LINGER LONGER DR
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City | ELLIJAY
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State | GA
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Zip | 30540-6908
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Country | US
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Telephone | 678-416-3920
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Fax |
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Provider Business Mailing Address
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Address Line | 67 LINGER LONGER DR
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City | ELLIJAY
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State | GA
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Zip | 30540-6908
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Country | US
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Telephone | 678-416-3920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KYLE SCOTT COLE
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Credential |
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Telephone | 404-635-6329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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