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General NPI Number Information
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NPI Number | 1992700173
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Entity Type | Organization
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Legal Business Name | CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KENTUCKY, INC.
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 911 BYPASS RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-1689
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Country | US
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Telephone | 606-218-4602
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Fax | 606-218-4609
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Provider Business Mailing Address
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Address Line | 275 CURRY HOLLOW RD STE G300
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City | PITTSBURGH
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State | PA
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Zip | 15236-4631
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Country | US
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Telephone | 412-653-2185
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Fax | 412-653-6050
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Authorized Official
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Title or Position | NATIONAL DIRECTOR
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Name | MARK KEENE
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Credential |
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Telephone | 909-915-2301
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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 | 7013
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 1207
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 7010
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1611
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3010
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 7019
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License Number State | KY
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