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General NPI Number Information
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NPI Number | 1235251364
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Entity Type | Organization
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Legal Business Name | PERCUSSIONAIRE CORPORATION
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 1655 GLENGARY BAY
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City | SANDPOINT
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State | ID
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Zip | 83864
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Country | US
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Telephone | 866-440-0478
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Fax |
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Provider Business Mailing Address
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Address Line | 1655 GLENGARY BAY ROAD
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City | SANDPOINT
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State | ID
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Zip | 83864
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Country | US
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Telephone | 866-440-0478
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FORREST M. BIRD
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Credential | MD
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Telephone | 866-440-0478
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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 | ID
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