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General NPI Number Information
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NPI Number | 1588951453
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Entity Type | Organization
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Legal Business Name | FIRE COMM OF DIST 3 HANOVER TWNSHP MORRIS CNTY
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 82 RIDGEDALE AVE
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-1617
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Country | US
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Telephone | 973-267-5659
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Fax | 973-292-2576
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Provider Business Mailing Address
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Address Line | PO BOX 511
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-0511
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Country | US
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Telephone | 973-267-5659
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Fax | 973-292-2576
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Authorized Official
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Title or Position | CHIEF OF DEPARTMENT
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Name | MR. CHAD DIGIORGIO
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Credential |
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Telephone | 973-267-5659
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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 | C1411004
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License Number State | NJ
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