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General NPI Number Information
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NPI Number | 1083800635
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Entity Type | Organization
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Legal Business Name | M&M MEDICAL SALES, INC.
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 356 S MAPLE AVE
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City | GLEN ROCK
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State | NJ
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Zip | 07452-1542
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Country | US
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Telephone | 201-612-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 356 S MAPLE AVE
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City | GLEN ROCK
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State | NJ
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Zip | 07452-1542
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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 | MR. JEFFREY RUTMAN
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Credential |
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Telephone | 201-612-9060
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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 | 0082134
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License Number State | NJ
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