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General NPI Number Information
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NPI Number | 1760971600
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Entity Type | Organization
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Legal Business Name | MOBILITY TRANSPORT SERVICES, LLC.
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 120 STRYKER LN STE 303
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 609-445-2556
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Fax |
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Provider Business Mailing Address
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Address Line | 120 STRYKER LN STE 303
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1931
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Country | US
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Telephone | 609-445-2556
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN FRYER
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Credential |
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Telephone | 609-445-2558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 102859
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License Number State | NJ
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