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General NPI Number Information
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NPI Number | 1598000648
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Entity Type | Organization
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Legal Business Name | LAKEWOOD HATZOLAH, LLC
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Dates
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Enumeration Date | 11/30/2012
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 501 COUNTY LINE ROAD
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 732-363-5600
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Fax | 732-363-5658
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Provider Business Mailing Address
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Address Line | PO BOX 256
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 732-363-5600
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Fax | 732-363-5658
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Authorized Official
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Title or Position | OFFICER
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Name | SIMON JOSEPH ZELDES
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Credential |
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Telephone | 732-363-5600
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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 | 1512014
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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