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General NPI Number Information
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NPI Number | 1407284433
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Entity Type | Organization
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Legal Business Name | SUPERIOR MEDICAL RESPONSE INC.
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 2206 SAYLORS POND RD
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City | JOBSTOWN
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State | NJ
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Zip | 08041-9990
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Country | US
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Telephone | 609-949-2700
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Fax | 609-353-1639
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Provider Business Mailing Address
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Address Line | PO BOX 218
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City | JOBSTOWN
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State | NJ
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Zip | 08041-0218
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Country | US
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Telephone | 609-949-2700
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Fax | 732-668-1185
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALISHER IGAMBERDIEV
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Credential |
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Telephone | 609-949-2700
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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 |
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License Number State |
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