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General NPI Number Information
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NPI Number | 1689107336
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Entity Type | Organization
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Legal Business Name | ONECOMMUNITY MEDICAL TRANS LLC
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 70 ELLIS AVE APT 8
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City | IRVINGTON
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State | NJ
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Zip | 07111-4376
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Country | US
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Telephone | 973-444-4714
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Fax | 973-556-1015
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Provider Business Mailing Address
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Address Line | 70 ELLIS AVE APT 8
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City | IRVINGTON
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State | NJ
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Zip | 07111-4376
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Country | US
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Telephone | 973-444-4714
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Fax | 973-556-1015
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Authorized Official
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Title or Position | CEO
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Name | JAMES LAWRENCE SMITH
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Credential |
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Telephone | 973-780-6889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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