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General NPI Number Information
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NPI Number | 1104666593
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Entity Type | Organization
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Legal Business Name | DELTA MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 409 MINNISINK RD
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City | TOTOWA
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State | NJ
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Zip | 07512-1846
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Country | US
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Telephone | 973-389-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 383 N 8TH ST
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City | PROSPECT PARK
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State | NJ
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Zip | 07508-2205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALESANDRO SHYTAJ
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Credential |
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Telephone | 973-389-3111
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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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