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General NPI Number Information
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NPI Number | 1063469153
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Entity Type | Organization
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Legal Business Name | WOODBURY TLC TRANSPORT, INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 575 WOODBURY GLASSBORO RD
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City | SEWELL
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State | NJ
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Zip | 08080-4563
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Country | US
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Telephone | 856-256-1390
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Fax | 856-256-0656
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Provider Business Mailing Address
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Address Line | 575 WOODBURY GLASSBORO RD
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City | SEWELL
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State | NJ
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Zip | 08080-4563
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Country | US
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Telephone | 856-256-1390
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Fax | 856-256-0656
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Authorized Official
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Title or Position | CFO
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Name | MR. JOEL DAVIDS
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Credential |
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Telephone | 856-848-1146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | NJ
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