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General NPI Number Information
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NPI Number | 1932408051
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Entity Type | Organization
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Legal Business Name | CARE MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 308 PARK AVE E
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City | HAINESPORT
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State | NJ
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Zip | 08036-3609
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Country | US
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Telephone | 609-265-1953
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 510
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City | HAINESPORT
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State | NJ
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Zip | 08036-0510
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Country | US
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Telephone | 908-468-5415
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Fax |
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Authorized Official
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Title or Position | PRINCIPLE
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Name | SIVA KANAKAMEDALA
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Credential |
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Telephone | 908-468-5415
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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 | PRN0031
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License Number State | NJ
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