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General NPI Number Information
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NPI Number | 1801003421
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Entity Type | Organization
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Legal Business Name | WATERFORD TOWNSHIP EMS INC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 192 A AVE
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City | ATCO
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State | NJ
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Zip | 08004-2434
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Country | US
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Telephone | 856-306-6525
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Fax | 856-767-3660
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Provider Business Mailing Address
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Address Line | 192 A AVE
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City | ATCO
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State | NJ
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Zip | 08004-2434
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Country | US
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Telephone | 856-767-2236
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Fax | 856-767-3660
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Authorized Official
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Title or Position | CHIEF
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Name | MR. WILLIAM GARDNER
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Credential |
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Telephone | 856-767-2236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | WATERF015
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License Number State | NJ
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