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General NPI Number Information
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NPI Number | 1255783536
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Entity Type | Organization
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Legal Business Name | LOGISTICA MEDICA AMB OF MEXICO
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 50B US HIGHWAY 9
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1526
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Country | US
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Telephone | 732-536-0515
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Fax | 732-741-0444
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | MORGANVILLE
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State | NJ
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Zip | 07751-0220
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Country | US
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Telephone | 732-536-0515
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Fax | 732-741-0444
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LEONARD AUGUST
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Credential |
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Telephone | 732-536-0515
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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 | ZZ
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | ZZ
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