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General NPI Number Information
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NPI Number | 1194135970
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Entity Type | Organization
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Legal Business Name | MBPS ENTERPRISES
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3 CORTLAND LN
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City | SEWELL
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State | NJ
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Zip | 08080-3033
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Country | US
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Telephone | 856-863-8165
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Fax | 856-863-1144
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Provider Business Mailing Address
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Address Line | 3 CORTLAND LN
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 856-863-8165
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Fax | 856-863-1144
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BARBARA KOHAN
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Credential |
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Telephone | 856-863-8165
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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 | 000
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License Number State | NJ
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