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General NPI Number Information
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NPI Number | 1003162819
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Entity Type | Organization
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Legal Business Name | ATLAS DURABLE MEDICAL EQUIPMENT, LLC.
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 105 TICES LN SUITE A
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2029
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Country | US
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Telephone | 732-470-9013
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Fax |
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Provider Business Mailing Address
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Address Line | 3 QUINCE CIR
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City | LUMBERTON
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State | NJ
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Zip | 08048-5280
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER - LLC
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Name | DR. SHAWN MICHAEL MORRIS
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Credential | D.C.
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Telephone | 732-470-9013
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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 | NJ
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