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General NPI Number Information
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NPI Number | 1790589331
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Entity Type | Organization
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Legal Business Name | TRUTH SHIELD
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 574 NEW JERSEY AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-2208
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Country | US
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Telephone | 201-519-7432
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Fax |
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Provider Business Mailing Address
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Address Line | 574 NEW JERSEY AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-2208
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Country | US
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Telephone | 201-519-7432
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | SAMUEL XAVIER MARTINEZ
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Credential |
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Telephone | 201-519-7432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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