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General NPI Number Information
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NPI Number | 1295866846
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF PENNSAUKEN
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 5605 N CRESCENT BLVD
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1834
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Country | US
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Telephone | 856-665-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 5605 N CRESCENT BLVD
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1834
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Country | US
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Telephone | 856-665-2323
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | MIKE COYLE
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Credential |
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Telephone | 856-665-2323
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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 | PENN00652
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License Number State | NJ
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