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General NPI Number Information
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NPI Number | 1538490248
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Entity Type | Organization
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Legal Business Name | MARTINSVILLE RESCUE SQUAD, INC.
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 01/20/2010
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Provider Practice Location Address
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Address Line | 1771 WASHINGTON VALLEY RD
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City | MARTINSVILLE
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State | NJ
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Zip | 08836-2003
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Country | US
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Telephone | 732-469-1505
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Fax | 732-356-4833
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Provider Business Mailing Address
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Address Line | PO BOX 296
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City | MARTINSVILLE
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State | NJ
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Zip | 08836-0296
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Country | US
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Telephone | 732-469-1505
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Fax | 732-356-4833
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Authorized Official
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Title or Position | CAPTAIN
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Name | MARK SWARTZ
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Credential |
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Telephone | 732-469-1505
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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 |
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License Number State |
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