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General NPI Number Information
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NPI Number | 1215193172
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Entity Type | Organization
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Legal Business Name | NE MEDICALSUPPLIES & DIABETIC FOOT HEALTH, LLC
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 1379 WARWICK AVE
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City | WARWICK
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State | RI
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Zip | 02888-5066
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Country | US
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Telephone | 401-383-4466
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Fax | 401-383-4598
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Provider Business Mailing Address
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Address Line | 1379 WARWICK AVE
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City | WARWICK
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State | RI
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Zip | 02888-5066
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Country | US
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Telephone | 401-383-4466
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Fax | 401-383-4598
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH BROWN
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Credential |
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Telephone | 401-383-4466
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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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