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General NPI Number Information
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NPI Number | 1184978520
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Entity Type | Organization
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Legal Business Name | SPARTA AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14 SPARTA AVE
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City | SPARTA
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State | NJ
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Zip | 07871-1802
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Country | US
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Telephone | 973-726-4040
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Fax | 973-726-4041
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Provider Business Mailing Address
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Address Line | 14 SPARTA AVE
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City | SPARTA
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State | NJ
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Zip | 07871-1802
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Country | US
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Telephone | 973-726-4040
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Fax | 973-726-4041
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW D SMETANA
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Credential |
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Telephone | 973-726-4040
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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 | NJ
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