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General NPI Number Information
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NPI Number | 1114338837
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Entity Type | Organization
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Legal Business Name | MONDLIZE CONSUMER SERVICES LLC
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 403 NATTULL DR
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City | BEAR
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State | DE
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Zip | 19701-4909
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Country | US
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Telephone | 215-292-2287
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Fax | 302-380-3250
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Provider Business Mailing Address
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Address Line | 15 PRESTBURY SQ SUITE 2
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City | NEWARK
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State | DE
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Zip | 19713-2608
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Country | US
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Telephone | 302-533-5178
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Fax | 302-380-3250
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE ANKRAH
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Credential |
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Telephone | 215-292-2287
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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 | 2010117783
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License Number State | DE
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