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General NPI Number Information
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NPI Number | 1093720724
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Entity Type | Organization
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Legal Business Name | NUTRICIA NORTH AMERICA
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9900 BELWARD CAMPUS DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-3969
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Country | US
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Telephone | 301-795-2300
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Fax | 301-795-2302
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Provider Business Mailing Address
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Address Line | 9900 BELWARD CAMPUS DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-3969
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Country | US
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Telephone | 301-795-2300
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Fax | 301-795-2302
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROB CRIM
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Credential |
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Telephone | 301-795-2300
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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 | 15219495
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License Number State | MD
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