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General NPI Number Information
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NPI Number | 1023097268
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Entity Type | Organization
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Legal Business Name | WHITEHOUSE FIRST AID & RESCUE SQUAD
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 269 MAIN ST
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City | WHITEHOUSE STATION
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State | NJ
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Zip | 08889-3620
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Country | US
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Telephone | 908-534-2509
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Fax | 908-534-2585
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Provider Business Mailing Address
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Address Line | PO BOX 175
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City | WHITEHOUSE STATION
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State | NJ
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Zip | 08889-0175
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Country | US
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Telephone | 908-534-2509
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Fax | 908-534-2585
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT J RAINEY
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Credential |
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Telephone | 908-534-2509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | WHITE028
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | WHITE028
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License Number State | NJ
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