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General NPI Number Information
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NPI Number | 1891823068
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF MEDFORD
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 1 FIREHOUSE LN
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City | MEDFORD
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State | NJ
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Zip | 08055-2726
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Country | US
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Telephone | 856-654-2608
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Fax | 856-953-4087
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Provider Business Mailing Address
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Address Line | 17 N MAIN ST
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City | MEDFORD
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State | NJ
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Zip | 08055-2411
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Country | US
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Telephone | 856-654-2608
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Fax | 856-953-4087
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Authorized Official
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Title or Position | CFO
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Name | KATHY BURGER
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Credential |
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Telephone | 856-654-2608
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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 | 1FDKE30F1VHA30421
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1FDXE45F6YHB73115
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1FDXE45P14HB38887
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License Number State | NJ
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