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General NPI Number Information
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NPI Number | 1225028707
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Entity Type | Organization
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Legal Business Name | ATLANTIC AMBULANCE CORP.
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 120 DORSA AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1003
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Country | US
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Telephone | 973-535-8500
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Fax | 973-535-8340
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Provider Business Mailing Address
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Address Line | 475 SOUTH STREET
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6459
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Country | US
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Telephone |
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Fax | 973-360-0542
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Authorized Official
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Title or Position | VP CFO
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Name | MR. KEVIN LENAHAN
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Credential |
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Telephone | 973-660-3190
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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 | ATLHLTH01
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License Number State | NJ
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