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General NPI Number Information
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NPI Number | 1003087503
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Entity Type | Organization
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Legal Business Name | TRUCKLOAD MATTRESS INC
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 45 W LANCASTER AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2846
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Country | US
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Telephone | 610-269-3736
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Fax | 610-269-0739
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Provider Business Mailing Address
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Address Line | 45 W LANCASTER AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2846
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Country | US
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Telephone | 610-269-3736
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Fax | 610-269-0739
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LARRY JULE PRIORI
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Credential |
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Telephone | 610-269-5674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | PA
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