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General NPI Number Information
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NPI Number | 1871877241
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Entity Type | Organization
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Legal Business Name | MEDICAL EXPRESS AMBULANCE LLC
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 1413 CHESTNUT AVE
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City | HILLSIDE
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State | NJ
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Zip | 07205-1132
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Country | US
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Telephone | 908-686-4800
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Fax | 732-283-4020
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Provider Business Mailing Address
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Address Line | 1413 CHESTNUT AVE
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City | HILLSIDE
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State | NJ
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Zip | 07205-1132
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Country | US
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Telephone | 908-686-4800
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Fax | 732-283-4020
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Authorized Official
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Title or Position | MANAGER
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Name | SUMEER TOTEJA
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Credential |
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Telephone | 732-803-1210
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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 | M2211040
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License Number State | NJ
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