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General NPI Number Information
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NPI Number | 1942740402
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Entity Type | Organization
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Legal Business Name | J&R TRANSPORTATION
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Dates
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Enumeration Date | 03/03/2017
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 4617 CENTRAL AVENUE PIKE APT C
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City | KNOXVILLE
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State | TN
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Zip | 37912-4068
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Country | US
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Telephone | 865-654-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 336 NICELY TRL
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City | POWELL
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State | TN
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Zip | 37849-3063
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Country | US
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Telephone | 865-654-5890
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Fax | 865-240-4658
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Authorized Official
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Title or Position | ADMIN PARTNER
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Name | MR. RICHARD BROWN
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Credential |
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Telephone | 865-382-1778
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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 | 0320168
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License Number State | TN
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