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General NPI Number Information
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NPI Number | 1205169257
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Entity Type | Organization
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Legal Business Name | DEWEY FURNITURE & CARPET INC.
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 4483 LIBERTY AVENUE
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City | VERMILION
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State | OH
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Zip | 44089
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Country | US
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Telephone | 440-967-9400
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Fax | 440-967-0889
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Provider Business Mailing Address
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Address Line | 4483 LIBERTY AVENUE
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City | VERMILION
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State | OH
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Zip | 44089
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Country | US
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Telephone | 440-967-9400
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Fax | 440-967-0889
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MATTHEW S. DEWEY
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Credential |
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Telephone | 440-967-9400
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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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