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General NPI Number Information
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NPI Number | 1093039109
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Entity Type | Organization
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Legal Business Name | EQUINOX SERVICES LLC
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 310 GEORGE WASHINGTON HWY SUITE 200
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City | SMITHFIELD
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State | RI
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Zip | 02917-1957
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Country | US
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Telephone | 617-416-7714
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Fax |
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Provider Business Mailing Address
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Address Line | 310 GEORGE WASHINGTON HWY SUITE 200
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City | SMITHFIELD
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State | RI
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Zip | 02917-1957
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Country | US
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Telephone | 617-416-7714
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. PAUL A MALLARI
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Credential |
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Telephone | 617-416-7714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State | RI
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