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General NPI Number Information
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NPI Number | 1841826641
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Entity Type | Organization
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Legal Business Name | JEAN TRANSPORTATION BUSINESS, LLC
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Dates
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Enumeration Date | 03/13/2020
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1171 E WILSON ST APT 104
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City | BATAVIA
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State | IL
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Zip | 60510-2256
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Country | US
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Telephone | 630-425-3952
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Fax |
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Provider Business Mailing Address
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Address Line | 27475 FERRY RD
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City | WARRENVILLE
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State | IL
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Zip | 60555-3808
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Country | US
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Telephone | 708-412-4674
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. JEAN JACQUES GOYI
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Credential |
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Telephone | 331-454-3351
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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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