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General NPI Number Information
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NPI Number | 1780138826
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Entity Type | Organization
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Legal Business Name | MIDDLETOWN EMERGENCY MEDICAL SERVICES INC
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 1 PENELOPE LN
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2504
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Country | US
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Telephone | 732-856-7045
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 311
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-0311
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Country | US
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Telephone | 732-856-7045
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. FLOYD GOLDSTEIN
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Credential |
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Telephone | 732-856-7045
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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 | 1311039
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License Number State | NJ
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