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General NPI Number Information
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NPI Number | 1417359720
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Entity Type | Organization
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Legal Business Name | MANVILLE FIRST AID & RESCUE SQUAD
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 2 S 3RD AVE
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City | MANVILLE
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State | NJ
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Zip | 08835-1808
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Country | US
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Telephone | 908-725-0903
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Fax | 908-231-1946
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Provider Business Mailing Address
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Address Line | 2 S 3RD AVE
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City | MANVILLE
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State | NJ
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Zip | 08835-1808
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Country | US
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Telephone | 908-725-0903
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Fax | 908-231-1946
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Authorized Official
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Title or Position | CHIEF
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Name | DAVID KOHLER
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Credential |
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Telephone | 908-725-0903
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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 | 100646
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License Number State | NJ
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