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General NPI Number Information
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NPI Number | 1184802597
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Entity Type | Organization
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Legal Business Name | LINCOLN COACH
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 265 ROUTE 46 STE 3K
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City | TOTOWA
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State | NJ
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Zip | 07512-1811
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Country | US
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Telephone | 973-837-6492
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Fax | 973-837-6493
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Provider Business Mailing Address
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Address Line | PO BOX 4962
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City | CLIFTON
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State | NJ
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Zip | 07015-4962
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Country | US
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Telephone | 201-519-2294
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Fax | 973-636-5836
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALAH ELZAIN
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Credential |
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Telephone | 201-519-2294
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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 | L1642009
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License Number State | NJ
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