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General NPI Number Information
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NPI Number | 1477603066
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Entity Type | Organization
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Legal Business Name | RARITAN MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 530 NEW BRUNSWICK AVE
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-3654
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Country | US
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Telephone | 732-324-5033
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Fax | 732-324-5034
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Provider Business Mailing Address
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Address Line | PO BOX 142
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-0142
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Country | US
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Telephone | 732-324-5033
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Fax | 732-324-5034
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Authorized Official
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Title or Position | CFO
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Name | TOM SHANAHAN
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Credential |
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Telephone | 732-324-5033
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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 | RESP00493
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License Number State | NJ
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