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General NPI Number Information
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NPI Number | 1023287752
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL INDUSTRIES LTD
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 63A GRAND AVE
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City | MASSAPEQUA
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State | NY
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Zip | 11758-4905
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Country | US
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Telephone | 516-797-4500
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Fax | 516-797-4210
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Provider Business Mailing Address
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Address Line | 63A GRAND AVE
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City | MASSAPEQUA
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State | NY
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Zip | 11758-4905
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Country | US
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Telephone | 516-797-4500
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Fax | 516-797-4210
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH A STUFANO
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Credential |
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Telephone | 516-797-4500
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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