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General NPI Number Information
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NPI Number | 1366087876
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Entity Type | Organization
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Legal Business Name | BOOMERANG INVESTMENTS LLC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 269 SHEFFIELD ST STE 2D
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2322
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Country | US
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Telephone | 888-802-2666
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Fax | 908-301-0992
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Provider Business Mailing Address
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Address Line | 269 SHEFFIELD ST STE 2D
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2322
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RAJEEV MEHTA
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Credential |
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Telephone | 888-802-2666
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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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