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General NPI Number Information
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NPI Number | 1871252353
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Entity Type | Organization
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Legal Business Name | SIS TRANSPORT LLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 56 OAKWOOD AVE
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City | ORANGE
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State | NJ
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Zip | 07050-3928
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Country | US
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Telephone | 973-444-6446
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Fax | 201-985-0325
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Provider Business Mailing Address
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Address Line | 26 DARTMOOR RD
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City | EAST HANOVER
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State | NJ
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Zip | 07936-3912
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Country | US
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Telephone | 973-444-6446
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Fax | 201-985-0325
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Authorized Official
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Title or Position | OWNER
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Name | SABRI M TAHA
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Credential |
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Telephone | 862-262-3778
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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 |
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License Number State |
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