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NPI 1114058773

NPI 1114058773 : TOWNSHIP OF DEPTFORD : WOODBURY, NJ

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General NPI Number Information
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    NPI Number           |    1114058773
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOWNSHIP OF DEPTFORD 
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Dates
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    Enumeration Date     |    03/07/2007
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    Last Update Date     |    12/21/2011
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Provider Practice Location Address
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    Address Line         |    1011 COOPER ST 
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    City                 |    WOODBURY
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    State                |    NJ
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    Zip                  |    08096-3076
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    Country              |    US
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    Telephone            |    856-686-2234
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1016 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-7016
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    Country              |    US
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    Telephone            |    856-784-3715
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MR. THOMAS E NEWMAN 
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    Credential           |    
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    Telephone            |    856-686-2234
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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       |    DEPT00156
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    License Number State |    NJ
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