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General NPI Number Information
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NPI Number | 1154618767
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Entity Type | Organization
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Legal Business Name | CP MEDICAL, LLC
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Dates
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Enumeration Date | 07/03/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3E NOBHILL
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City | ROSELAND
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State | NJ
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Zip | 07068-3803
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Country | US
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Telephone | 201-628-5390
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Fax | 201-815-2530
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Provider Business Mailing Address
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Address Line | 3E NOBHILL
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City | ROSELAND
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State | NJ
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Zip | 07068-3803
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Country | US
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Telephone | 201-628-5390
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Fax | 201-815-2530
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Authorized Official
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Title or Position | PRESIDENT/ CO-OWNER
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Name | MR. PETER CALLAGHAN
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Credential |
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Telephone | 201-628-5390
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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 |
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License Number State | NJ
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