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General NPI Number Information
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NPI Number | 1023320959
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF ROCHELLE PARK
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 10/28/2010
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Provider Practice Location Address
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Address Line | 1 LOTZ LN
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-4100
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Country | US
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Telephone | 201-587-7744
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Fax | 201-587-7741
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Provider Business Mailing Address
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Address Line | 151 W PASSAIC ST
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-3105
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Country | US
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Telephone | 201-587-7744
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Fax | 201-587-7741
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ROLAND C JACOBSEN
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Credential | E.M.T.
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Telephone | 201-587-7744
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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 |
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License Number State |
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