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General NPI Number Information
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NPI Number | 1780702753
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Entity Type | Organization
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Legal Business Name | BENNETT TRANSPORTATION
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1215 LIBERTY AVE LOWER LEVEL RIGHT
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City | HILLSIDE
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State | NJ
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Zip | 07205-2054
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Country | US
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Telephone | 908-282-1910
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Fax | 908-282-1908
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Provider Business Mailing Address
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Address Line | 1215 LIBERTY AVE
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City | HILLSIDE
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State | NJ
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Zip | 07205-2054
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Country | US
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Telephone | 908-282-1910
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Fax | 908-282-1908
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD BENNETT
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Credential |
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Telephone | 908-282-1910
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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 |
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License Number State | NJ
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