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General NPI Number Information
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NPI Number | 1235568056
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Entity Type | Organization
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Legal Business Name | S.O.L MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 53 AUTUMN ST
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City | LODI
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State | NJ
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Zip | 07644-2301
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Country | US
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Telephone | 201-647-2774
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Fax |
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Provider Business Mailing Address
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Address Line | 53 AUTUMN ST
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City | LODI
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State | NJ
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Zip | 07644-2301
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Country | US
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Telephone | 201-647-2774
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | CHRISTIAN ALAMEDA
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Credential |
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Telephone | 201-647-2774
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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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