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General NPI Number Information
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NPI Number | 1982911897
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Entity Type | Organization
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Legal Business Name | SOUTH JERSEY MEDICAL TRANSPORTATION, LLC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 28 FRONT ST
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City | SALEM
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State | NJ
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Zip | 08079-1048
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Country | US
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Telephone | 856-759-4269
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Fax | 856-759-4753
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Provider Business Mailing Address
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Address Line | 28 FRONT ST
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City | SALEM
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State | NJ
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Zip | 08079-1048
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Country | US
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Telephone | 856-759-4269
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ADRIAN C BURHUI
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Credential |
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Telephone | 856-759-4269
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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