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General NPI Number Information
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NPI Number | 1215672365
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Entity Type | Organization
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Legal Business Name | PATIENCE MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 20 GLENSIDE DR
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4709
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Country | US
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Telephone | 201-396-0417
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Fax | 973-419-0414
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Provider Business Mailing Address
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Address Line | 20 GLENSIDE DR
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4709
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Country | US
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Telephone | 973-991-9829
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Fax | 973-419-0414
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Authorized Official
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Title or Position | OWNER
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Name | REAGEN PIERRE
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Credential |
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Telephone | 201-396-0417
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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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