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General NPI Number Information
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NPI Number | 1902083710
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Entity Type | Organization
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Legal Business Name | JFK TRANSPORTATION CO., INC.
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 04/12/2010
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Provider Practice Location Address
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Address Line | 980 W. 17TH STREET SUITE B
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City | SANTA ANA
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State | CA
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Zip | 92706-3554
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Country | US
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Telephone | 714-543-4629
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Fax | 714-543-0306
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Provider Business Mailing Address
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Address Line | 980 W. 17TH STREET SUITE B
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City | SANTA ANA
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State | CA
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Zip | 92706-3554
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Country | US
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Telephone | 714-543-4629
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Fax | 714-543-0306
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. KEVIN WATSON
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Credential |
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Telephone | 714-543-4629
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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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