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General NPI Number Information
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NPI Number | 1902050248
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Entity Type | Organization
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Legal Business Name | TRI STAR MEDICAL TRANS INC
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 37 ADAMS ST SUITE 1
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City | CLIFTON
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State | NJ
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Zip | 07011-2801
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Country | US
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Telephone | 973-445-3145
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Fax | 973-881-0018
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Provider Business Mailing Address
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Address Line | PO BOX 2013
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City | CLIFTON
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State | NJ
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Zip | 07015-2013
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Country | US
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Telephone | 973-445-3145
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Fax | 973-881-0018
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. HASSAN OKAIR
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Credential |
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Telephone | 973-445-3145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | TRI STAR
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License Number State | NJ
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