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General NPI Number Information
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NPI Number | 1134513021
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Entity Type | Organization
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Legal Business Name | WESTERN MONMOUTH EMERGENCY MEDICAL SERVICES INC
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 7 SANFORD ST
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City | MANALAPAN
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State | NJ
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Zip | 07726-3807
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Country | US
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Telephone | 732-740-3738
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 294
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City | ENGLISHTOWN
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State | NJ
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Zip | 07726-0294
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Country | US
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Telephone | 908-740-3738
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN J CUCCIA JR.
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Credential |
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Telephone | 732-740-3738
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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 | 1311081
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License Number State | NJ
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