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General NPI Number Information
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NPI Number | 1306770797
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Entity Type | Organization
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Legal Business Name | BAEZ MEDICAL TRANSPORT LLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 109 RTE 46
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City | LITTLE FERRY
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State | NJ
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Zip | 07643-1407
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Country | US
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Telephone | 551-337-4601
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Fax |
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Provider Business Mailing Address
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Address Line | 69 AVENUE F
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City | LODI
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State | NJ
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Zip | 07644-1911
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Country | US
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Telephone | 646-338-9572
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VANESSA BAEZ
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Credential |
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Telephone | 646-339-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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