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General NPI Number Information
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NPI Number | 1235541251
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Entity Type | Organization
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Legal Business Name | MOM & POP CARE INC
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Dates
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Enumeration Date | 05/25/2014
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 111 MALTESE DR SECOND FLOOR
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City | TOTOWA
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State | NJ
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Zip | 07512-1402
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Country | US
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Telephone | 914-391-4837
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Fax | 732-283-4020
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Provider Business Mailing Address
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Address Line | 230 E. RIDGEWOOD AVENUE BUILDING 3, FLOOR 1
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City | PARAMUS
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State | NJ
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Zip | 07652
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Country | US
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Telephone | 844-488-1234
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Fax | 973-255-2247
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. KAY KIM
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Credential |
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Telephone | 914-391-4837
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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 | 100660
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License Number State | NJ
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