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General NPI Number Information
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NPI Number | 1093975518
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Entity Type | Organization
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Legal Business Name | INTERPRO SYSTEMS
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 3049 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11235-8372
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Country | US
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Telephone | 908-790-9222
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Fax | 973-301-0899
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Provider Business Mailing Address
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Address Line | 29 OVERLOOK RD
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City | CHATHAM TWP
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State | NJ
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Zip | 07928-1512
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Country | US
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Telephone | 908-790-9222
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Fax | 973-301-0899
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID M RABE
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Credential | CPO LP LO
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Telephone | 908-790-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 45OR00000100
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License Number State | NJ
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