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General NPI Number Information
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NPI Number | 1104977719
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Entity Type | Organization
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Legal Business Name | EBI MEDICAL SYSTEMS LLC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 399 JEFFERSON RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-3707
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Country | US
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Telephone | 800-526-2579
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Fax | 973-257-7841
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Provider Business Mailing Address
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Address Line | 399 JEFFERSON RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-3707
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Country | US
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Telephone | 800-526-2579
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Fax | 973-257-7841
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Authorized Official
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Title or Position | SENIOR VP REIMBURSEMENT
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Name | MR. JAMES BECHTOLD
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Credential |
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Telephone | 973-299-9300
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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 | 5002755
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License Number State | NJ
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