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General NPI Number Information
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NPI Number | 1477410660
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Entity Type | Organization
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Legal Business Name | PEAPACK - GLADSTONE FIRST AID & RESCUE SQUAD INC.
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1 SAINT LUKES AVE.
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City | PEAPACK
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State | NJ
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Zip | 07977
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Country | US
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Telephone | 908-234-0253
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14
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City | PEAPACK
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State | NJ
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Zip | 07977-0014
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Country | US
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Telephone | 908-234-0253
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS A SCANLON
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Credential |
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Telephone | 908-234-0253
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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 |
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License Number State |
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Taxonomy #2
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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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