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General NPI Number Information
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NPI Number | 1578616223
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Entity Type | Organization
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Legal Business Name | CARE ONE MEDICAL SERVICES
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 17 SMALLWOOD AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-1358
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Country | US
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Telephone | 973-302-7965
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Fax |
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Provider Business Mailing Address
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Address Line | 17 SMALLWOOD AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-1358
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Country | US
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Telephone | 973-302-7965
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CESAR A AVILA
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Credential |
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Telephone | 888-221-6635
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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 | 0600288865
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License Number State | NJ
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