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General NPI Number Information
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NPI Number | 1871966408
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Entity Type | Organization
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Legal Business Name | JC TRANSPORTATION SERVICES LLC
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Dates
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Enumeration Date | 11/04/2015
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 19785 W 12 MILE RD STE 452
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2584
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Country | US
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Telephone | 248-378-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 19785 W 12 MILE RD STE 452
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2584
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMELL CARTER
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Credential |
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Telephone | 770-315-5559
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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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