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General NPI Number Information
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NPI Number | 1649461658
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Entity Type | Organization
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Legal Business Name | COUNTY INVALID COACH INC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 381 MAIN ST
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City | HACKENSACK
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State | NJ
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Zip | 07601-5806
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Country | US
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Telephone | 201-342-5226
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Fax | 201-342-2725
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Provider Business Mailing Address
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Address Line | 381 MAIN ST
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City | HACKENSACK
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State | NJ
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Zip | 07601-5806
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Country | US
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Telephone | 201-342-5226
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Fax | 201-342-2725
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. SUMEER TOTEJA
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Credential |
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Telephone | 732-906-1800
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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 | COUN000
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License Number State | NJ
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