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General NPI Number Information
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NPI Number | 1003142969
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Entity Type | Organization
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Legal Business Name | ASSISTIVE TECH PRODUCTS, INC
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 315 HOWELL RD
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City | SHAVERTOWN
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State | PA
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Zip | 18708-9642
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Country | US
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Telephone | 570-338-0128
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Fax | 570-300-1808
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Provider Business Mailing Address
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Address Line | 315 HOWELL RD
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City | SHAVERTOWN
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State | PA
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Zip | 18708-9642
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Country | US
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Telephone | 570-338-0128
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Fax | 570-300-1808
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN REXFORD CAMPBELL
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Credential | ATP, RET
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Telephone | 570-338-0128
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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 |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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