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General NPI Number Information
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NPI Number | 1336561570
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Entity Type | Organization
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Legal Business Name | LIFEROCK MEDICAL LLC
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 409 MINNISINK RD SUITE 203
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City | TOTOWA
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State | NJ
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Zip | 07512-1846
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Country | US
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Telephone | 201-294-4791
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Fax | 973-256-5034
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Provider Business Mailing Address
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Address Line | 409 MINNISINK RD SUITE 203
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City | TOTOWA
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State | NJ
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Zip | 07512-1846
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Country | US
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Telephone | 201-294-4791
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Fax | 973-256-5034
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SUMEER TOTEJA
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Credential |
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Telephone | 732-803-1210
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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 | 100563
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License Number State | NJ
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