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General NPI Number Information
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NPI Number | 1235372038
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Entity Type | Organization
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Legal Business Name | ALL METRO TRANSPORT LLC
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 398 LINCOLN BLVD
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City | MIDDLESEX
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State | NJ
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Zip | 08846-2368
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Country | US
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Telephone | 190-846-3334
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Fax | 908-837-9602
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Provider Business Mailing Address
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Address Line | 398 LINCOLN BLVD
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City | MIDDLESEX
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State | NJ
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Zip | 08846-2368
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Country | US
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Telephone | 190-846-3334
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Fax | 908-837-9602
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DMITRIY M KUPRIYANOV I
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Credential | RN EMT
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Telephone | 908-463-3343
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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 | 1212064
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License Number State | NJ
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