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General NPI Number Information
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NPI Number | 1063151256
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Entity Type | Organization
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Legal Business Name | MTM MEDICAL BILLING
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 29 5TH ST
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City | BARNEGAT
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State | NJ
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Zip | 08005-1218
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Country | US
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Telephone | 609-503-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 29 5TH ST
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City | BARNEGAT
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State | NJ
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Zip | 08005-1218
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Country | US
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Telephone | 609-503-4052
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. SCOTT KRAMER
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Credential |
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Telephone | 609-530-4052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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