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General NPI Number Information
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NPI Number | 1164858601
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Entity Type | Organization
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Legal Business Name | IMPERIAL MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 651 HOLIDAY DR BUILDING 5 STE 300
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City | PITTSBURGH
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State | PA
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Zip | 15220-2740
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Country | US
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Telephone | 412-596-9825
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Fax |
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Provider Business Mailing Address
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Address Line | 651 HOLIDAY DR BUILDING 5 STE 300
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City | PITTSBURGH
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State | PA
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Zip | 15220-2740
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Country | US
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Telephone | 412-596-9825
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Fax |
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Authorized Official
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Title or Position | COO
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Name | RYAN STOUGHTON
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Credential |
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Telephone | 412-596-9825
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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 | 6000008401
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License Number State | PA
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