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General NPI Number Information
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NPI Number | 1104736610
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Entity Type | Organization
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Legal Business Name | HUDSON STATE LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 25 WALDRON AVE
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City | NYACK
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State | NY
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Zip | 10960-2935
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Country | US
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Telephone | 877-468-3690
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Fax | 919-296-1331
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Provider Business Mailing Address
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Address Line | 25 WALDRON AVE
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City | NYACK
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State | NY
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Zip | 10960-2935
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Country | US
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Telephone | 877-468-3690
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Fax | 919-296-1331
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Authorized Official
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Title or Position | OPERATIONS MANAGER / OWNER
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Name | FREDERICK LEE JONES
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Credential |
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Telephone | 845-327-3481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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