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General NPI Number Information
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NPI Number | 1225159700
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Entity Type | Organization
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Legal Business Name | AGL WELDING SUPPLY CO
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 600 US HIGHWAY 46
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City | CLIFTON
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State | NJ
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Zip | 07013-1503
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Country | US
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Telephone | 973-478-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 600 US HIGHWAY 46
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City | CLIFTON
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State | NJ
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Zip | 07013-1503
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Country | US
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Telephone | 973-478-5100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK FENELON
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Credential |
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Telephone | 973-478-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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