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General NPI Number Information
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NPI Number | 1033459771
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Entity Type | Organization
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Legal Business Name | SPRINGFIELD FIRST AID SQUAD, INC.
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Dates
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Enumeration Date | 02/17/2013
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Last Update Date | 02/17/2013
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Provider Practice Location Address
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Address Line | 10 TRIVETT AVE N
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1739
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Country | US
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Telephone | 973-908-8367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-0247
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Country | US
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Telephone | 973-908-8367
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Fax |
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Authorized Official
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Title or Position | CAPTAIN
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Name | APU MULLICK
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Credential |
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Telephone | 973-908-8367
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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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