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General NPI Number Information
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NPI Number | 1992939706
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Entity Type | Organization
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Legal Business Name | CARDINAL AMBULANCE CORP
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 209 LAFAYETTE AVE
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City | HAWTHORNE
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State | NJ
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Zip | 07506-1904
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Country | US
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Telephone | 973-310-3331
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Fax | 973-310-3332
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Provider Business Mailing Address
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Address Line | 209 LAFAYETTE AVE
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City | HAWTHORNE
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State | NJ
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Zip | 07506-1904
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Country | US
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Telephone | 973-310-3331
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Fax | 973-310-3332
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. SUMEER TOTEJA
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Credential |
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Telephone | 732-803-1210
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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 | C1611029
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License Number State | NJ
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