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General NPI Number Information
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NPI Number | 1629494794
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Entity Type | Organization
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Legal Business Name | SHARP MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 658 BLOOMFIELD AVE
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-7526
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Country | US
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Telephone | 973-228-2800
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Fax | 973-228-2833
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Provider Business Mailing Address
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Address Line | 43 RIDGE AVE
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-1513
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Country | US
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Telephone | 973-228-2800
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Fax | 973-228-2833
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMED M ZEIDAN
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Credential |
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Telephone | 973-228-2800
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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 | 100651
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License Number State | NJ
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