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General NPI Number Information
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NPI Number | 1356661805
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Entity Type | Organization
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Legal Business Name | THE LUMBERTON EMERGENCY SQUAD
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Dates
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Enumeration Date | 06/07/2010
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 34 MUNICIPAL DR
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City | LUMBERTON
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State | NJ
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Zip | 08048-4556
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Country | US
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Telephone | 609-261-1828
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18533
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City | PITTSBURGH
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State | PA
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Zip | 15236-0533
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Country | US
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Telephone | 800-240-6365
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | JAMIE WOOD
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Credential |
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Telephone | 609-261-1828
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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 | L311021
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License Number State | NJ
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