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General NPI Number Information
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NPI Number | 1619385614
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Entity Type | Organization
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Legal Business Name | MEDIRUSH, LLC.
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 38 BRUNSWICK WOODS DR FL 2
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5601
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Country | US
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Telephone | 732-387-8335
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Fax | 732-387-8440
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Provider Business Mailing Address
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Address Line | 38 BRUNSWICK WOODS DR FL 2
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5601
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Country | US
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Telephone | 732-387-8335
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Fax | 732-387-8440
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL FAINMAN
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Credential |
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Telephone | 732-387-8335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | NJ
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Taxonomy #2
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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 | NJ
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