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General NPI Number Information
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NPI Number | 1194407338
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Entity Type | Organization
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Legal Business Name | M.T.T.T. MEDICAL TRANSPORT LLC.
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 109 HIGHVIEW DR
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2715
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Country | US
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Telephone | 862-290-2676
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Fax | 973-339-9066
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Provider Business Mailing Address
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Address Line | 109 HIGHVIEW DR
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-2715
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Country | US
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Telephone | 862-290-2676
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Fax | 973-339-9066
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Authorized Official
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Title or Position | PARTNER
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Name | MRS. FIOR GONZALEZ
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Credential |
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Telephone | 862-290-2676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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