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General NPI Number Information
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NPI Number | 1033475926
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Entity Type | Organization
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Legal Business Name | DELMARVA CUSTOM TRUCK AND VAN INC
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 186 N DUPONT HWY
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City | NEW CASTLE
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State | DE
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Zip | 19720-3144
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Country | US
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Telephone | 302-328-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 186 N DUPONT HWY
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City | NEW CASTLE
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State | DE
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Zip | 19720-3144
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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 | PRESIDENT
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Name | MICHAEL JOHN TURNER
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Credential |
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Telephone | 302-328-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 1989074245
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License Number State | DE
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