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General NPI Number Information
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NPI Number | 1861767436
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Entity Type | Organization
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Legal Business Name | ALL METRO AMBULANCE LLC
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 398 LINCOLN BLVD SUITE B-2
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City | MIDDLESEX
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State | NJ
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Zip | 08846-2368
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Country | US
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Telephone | 855-692-6285
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Fax |
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Provider Business Mailing Address
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Address Line | 398 LINCOLN BLVD SUITE B-2
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City | MIDDLESEX
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State | NJ
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Zip | 08846-2368
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Country | US
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Telephone | 855-692-6285
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | VICKIE KUPRIYANOV
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Credential |
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Telephone | 855-692-6285
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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 | 0400-4464-64
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License Number State | NJ
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