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General NPI Number Information
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NPI Number | 1801293428
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Entity Type | Organization
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Legal Business Name | JOY MEDICAL TRANSPORT
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 655 AMBOY AVE
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-3159
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Country | US
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Telephone | 732-510-7358
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Fax | 732-387-2490
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Provider Business Mailing Address
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Address Line | 655 AMBOY AVE
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-3159
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Country | US
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Telephone | 732-510-7358
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Fax | 732-387-2490
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY FANDINO
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Credential |
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Telephone | 732-425-7241
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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 | 100718
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License Number State | NJ
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