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General NPI Number Information
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NPI Number | 1457562076
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Entity Type | Organization
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Legal Business Name | STRATFORD AMBULANCE ASSOCIATION INC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 502 W ATLANTIC AVE
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City | STRATFORD
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State | NJ
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Zip | 08084-1605
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Country | US
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Telephone | 856-784-4466
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1016
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City | VOORHEES
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State | NJ
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Zip | 08043-9998
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Country | US
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Telephone | 856-784-8004
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Fax | 856-768-2739
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAYME MEYERS
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Credential |
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Telephone | 856-784-4466
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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 | STRA00552
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License Number State | NJ
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