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General NPI Number Information
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NPI Number | 1154746691
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Entity Type | Organization
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Legal Business Name | INFINITY AMBULANCE SERVICES LLC
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 7 APPLEMAN RD
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City | SOMERSET
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State | NJ
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Zip | 08873-1719
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Country | US
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Telephone | 973-855-1113
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Fax |
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Provider Business Mailing Address
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Address Line | 7 APPLEMAN RD
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City | SOMERSET
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State | NJ
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Zip | 08873-1719
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Country | US
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Telephone | 973-855-1113
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YASIR I ELTAYEB
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Credential |
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Telephone | 973-885-1113
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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 | 100608
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License Number State | NJ
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