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General NPI Number Information
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NPI Number | 1316148406
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Entity Type | Organization
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Legal Business Name | CITY OF BRIDGETON
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 ORANGE ST
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City | BRIDGETON
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State | NJ
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Zip | 08302
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Country | US
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Telephone | 856-451-0090
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1016
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City | VOORHEES
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State | NJ
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Zip | 08043-7016
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Country | US
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Telephone | 856-784-8004
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | DAVID SCHOCH
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Credential |
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Telephone | 856-451-0091
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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 | BRID00094
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License Number State | NJ
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