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General NPI Number Information
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NPI Number | 1124202676
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Entity Type | Organization
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Legal Business Name | MADISON SURGICAL APPLIANCE CENTRE
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 4222 MILWAUKEE ST STE 2&3
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City | MADISON
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State | WI
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Zip | 53714-3508
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Country | US
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Telephone | 608-241-7170
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Fax | 608-241-7190
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Provider Business Mailing Address
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Address Line | 4222 MILWAUKEE ST STE 2&3
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City | MADISON
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State | WI
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Zip | 53714-3508
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Country | US
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Telephone | 608-241-7170
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Fax | 608-241-7190
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JEWELL A HUGHES
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Credential | CERTIFIED FITTER
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Telephone | 608-241-7170
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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