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NPI 1760872196

NPI 1760872196 : BELTRAMI CADUCEUS : SUMMIT, NJ

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General NPI Number Information
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    NPI Number           |    1760872196
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELTRAMI CADUCEUS 
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Dates
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    Enumeration Date     |    01/23/2015
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    Last Update Date     |    01/23/2015
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Provider Practice Location Address
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    Address Line         |    767 SPRINGFIELD AVE 
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    City                 |    SUMMIT
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    State                |    NJ
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    Zip                  |    07901-2328
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    Country              |    US
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    Telephone            |    800-535-9014
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    61 MAPLE ST P.O. BOX 345
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    City                 |    SUMMIT
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    State                |    NJ
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    Zip                  |    07902-7000
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    Country              |    US
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    Telephone            |    800-535-9014
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING DIRECTOR
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    Name                 |    MR. JERRY WILLIAM PECARO 
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    Credential           |    
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    Telephone            |    800-535-9014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333300000X
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    Taxonomy Name        |    Emergency Response System Companies
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    License Number       |    
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    License Number State |    
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