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General NPI Number Information
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NPI Number | 1154651990
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF LYNDHURST
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 297 DELAFIELD AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-1464
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Country | US
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Telephone | 201-804-0322
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Fax |
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Provider Business Mailing Address
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Address Line | 367 VALLEY BROOK AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-1810
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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 | EMS SUPERVISOR
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Name | MR. ERIC ENGELHARDT
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Credential |
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Telephone | 201-804-0322
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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 | L214037
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License Number State | NJ
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