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General NPI Number Information
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NPI Number | 1366791618
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Entity Type | Organization
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Legal Business Name | NATAN MOBILE,LLC
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Dates
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Enumeration Date | 09/02/2012
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 1460 LIVINGSTON AVE BLDG 400 SUITE 406
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone | 888-423-1777
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Fax | 732-200-0646
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Provider Business Mailing Address
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Address Line | 1460 LIVINGSTON AVE BLDG 400 SUITE 406
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone | 888-423-1777
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Fax | 732-200-0646
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MR. NIKITA A MAKARUHA
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Credential |
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Telephone | 888-432-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 594105
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License Number State | NJ
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