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General NPI Number Information
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NPI Number | 1639423874
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Entity Type | Organization
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Legal Business Name | MATAWAN-ABERDEEN FIRST AID SQUAD
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 28 LITTLE STREET
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City | MATAWAN
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State | NJ
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Zip | 07747
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Country | US
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Telephone | 732-395-3536
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Fax | 732-441-1350
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Provider Business Mailing Address
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Address Line | 28 LITTLE STREET
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City | MATAWAN
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State | NJ
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Zip | 07747
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Country | US
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Telephone | 732-395-3536
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Fax | 732-441-1350
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUSTIN FATA
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Credential |
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Telephone | 908-770-7079
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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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