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General NPI Number Information
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NPI Number | 1174611305
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Entity Type | Organization
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Legal Business Name | ADVANCED DME SERVICES LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 2 TIMBER LN UNIT #302
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City | MARLBORO
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State | NJ
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Zip | 07746-1482
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Country | US
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Telephone | 888-949-2083
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Fax | 732-879-0384
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Provider Business Mailing Address
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Address Line | 2 TIMBER LN UNIT #302
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City | MARLBORO
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State | NJ
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Zip | 07746-1482
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Country | US
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Telephone | 888-949-2083
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Fax | 732-879-0384
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN FRANK MARULLO
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Credential |
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Telephone | 888-949-2083
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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 |
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