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General NPI Number Information
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NPI Number | 1174642177
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Entity Type | Organization
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Legal Business Name | COLONIAL MEDICAL ASSISTED DEVICES
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14 CELINA AVE UNIT #1
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City | NASHUA
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State | NH
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Zip | 03063-1025
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Country | US
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Telephone | 603-881-8351
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Fax | 603-595-8019
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Provider Business Mailing Address
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Address Line | 14 CELINA AVE UNIT #1
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City | NASHUA
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State | NH
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Zip | 03063-1025
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Country | US
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Telephone | 603-881-8351
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Fax | 603-595-8019
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MS. LAURIE A FORRENCE
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Credential |
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Telephone | 603-881-8351
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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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