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General NPI Number Information
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NPI Number | 1891119632
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Entity Type | Organization
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Legal Business Name | HAMPTON LAKES EMERGENCY SQUAD, INC
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 4 HOLLY BLVD
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City | SOUTHAMPTON
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State | NJ
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Zip | 08088
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Country | US
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Telephone | 609-859-1482
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Fax | 609-859-2853
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Provider Business Mailing Address
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Address Line | PO BOX 18533
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City | PITTSBURGH
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State | PA
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Zip | 15236-0533
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Country | US
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Telephone | 800-240-6365
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Fax | 724-234-4703
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD J. SHAW
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Credential |
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Telephone | 888-240-1780
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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 | 100630
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License Number State | NJ
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