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General NPI Number Information
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NPI Number | 1245455807
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Entity Type | Organization
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Legal Business Name | SECURE TRANSPORTATION, INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 187 WESCOTT DR
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City | RAHWAY
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State | NJ
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Zip | 07065-4706
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Country | US
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Telephone | 732-381-6000
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Fax | 732-381-0569
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Provider Business Mailing Address
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Address Line | PO BOX 9364
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City | ELIZABETH
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State | NJ
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Zip | 07202-0364
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Country | US
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Telephone | 732-381-6000
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Fax | 732-381-0569
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VASCO FREITAS
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Credential |
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Telephone | 732-294-9959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | SECUOO524
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License Number State | NJ
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