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General NPI Number Information
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NPI Number | 1306120407
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Entity Type | Organization
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Legal Business Name | CLEOPATRA TRANSPORT INC
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 05/13/2013
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Provider Practice Location Address
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Address Line | 35 2ND AVE
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City | ROSELAND
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State | NJ
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Zip | 07068-1620
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Country | US
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Telephone | 201-622-8550
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Fax | 862-576-7961
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Provider Business Mailing Address
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Address Line | PO BOX 9157
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City | NEWARK
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State | NJ
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Zip | 07104-9157
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Country | US
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Telephone | 201-622-8550
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Fax | 862-576-7961
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | AHMED ELAGAMY
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Credential |
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Telephone | 201-622-8550
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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 |
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License Number State |
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