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General NPI Number Information
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NPI Number | 1801288808
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Entity Type | Organization
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Legal Business Name | ADAM FIRST, LLC
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 210 PASSAIC AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5818
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Country | US
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Telephone | 844-232-6178
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 512
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City | SHORT HILLS
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State | NJ
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Zip | 07078-0512
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MR. JASON DISARRO
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Credential |
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Telephone | 844-232-6178
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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 | 0711062
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License Number State | NJ
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