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General NPI Number Information
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NPI Number | 1184796518
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Entity Type | Organization
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Legal Business Name | CITY OF WILDWOOD
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 4400 NEW JERSEY AVE
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City | WILDWOOD
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State | NJ
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Zip | 08260-1729
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Country | US
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Telephone | 609-522-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 NEW JERSEY AVE
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City | WILDWOOD
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State | NJ
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Zip | 08260-1729
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Country | US
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Telephone | 609-522-1110
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | CONRAD JOHNSON JR.
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Credential |
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Telephone | 609-522-1110
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | WILD00640
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License Number State | NJ
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