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General NPI Number Information
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NPI Number | 1467508234
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Entity Type | Organization
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Legal Business Name | ESSEX VALLEY MEDICAL TRANSPORTATION SERVICES
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 CENTRAL AVE
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2819
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Country | US
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Telephone | 973-414-3448
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Fax | 973-414-3480
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Provider Business Mailing Address
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Address Line | 300 CENTRAL AVE
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2819
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Country | US
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Telephone | 973-414-3448
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Fax | 973-414-3480
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT ACCOUNTS
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Name | MR. WARREN GEORGE MILLER JR.
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Credential |
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Telephone | 973-414-3448
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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 | ESSE00195
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License Number State | NJ
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