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General NPI Number Information
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NPI Number | 1225658115
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Entity Type | Organization
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Legal Business Name | MORGANVILLE FIRST AID & RESCUE SQUAD INC.
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 277 TENNENT ROAD
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City | MORGANVILLE
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State | NJ
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Zip | 07751
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Country | US
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Telephone | 732-591-1200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 310
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City | MORGANVILLE
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State | NJ
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Zip | 07751-0310
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Country | US
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Telephone | 732-591-1200
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Fax |
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Authorized Official
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Title or Position | 2ND LIEUTENANT
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Name | THOMAS THORNBURY
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Credential | EMT
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Telephone | 732-610-9717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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