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General NPI Number Information
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NPI Number | 1730110180
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Entity Type | Organization
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Legal Business Name | LIFE STREAMS MEDICAL TRANSPORTATION, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 625 CENTRAL AVE
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City | NEWARK
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State | NJ
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Zip | 07107-1054
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Country | US
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Telephone | 973-523-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 19 CROOKS AVE
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City | PATERSON
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State | NJ
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Zip | 07503-1401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | ETCHEL PARAGAS
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Credential |
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Telephone | 973-523-4177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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