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NPI 1588442966

NPI 1588442966 : SAMRI TRANSPORT CARE : ORANGE, NJ

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General NPI Number Information
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    NPI Number           |    1588442966
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAMRI TRANSPORT CARE 
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Dates
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    Enumeration Date     |    09/18/2023
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    Last Update Date     |    09/18/2023
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Provider Practice Location Address
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    Address Line         |    439 MAIN ST STE 205 
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    City                 |    ORANGE
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    State                |    NJ
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    Zip                  |    07050-1523
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    Country              |    US
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    Telephone            |    973-200-3121
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    334 STEGMAN PKWY 
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    City                 |    JERSEY CITY
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    State                |    NJ
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    Zip                  |    07305-1409
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    Country              |    US
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    Telephone            |    551-242-1531
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. FOUAD NOH TAMOUR 
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    Credential           |    
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    Telephone            |    551-242-1531
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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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