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General NPI Number Information
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NPI Number | 1235364571
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Entity Type | Organization
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Legal Business Name | PROXTALKER.COM,LLC
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 10/31/2014
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Provider Practice Location Address
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Address Line | 327 HUNTINGDON AVE
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City | WATERBURY
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State | CT
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Zip | 06708-1413
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Country | US
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Telephone | 203-721-6074
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Fax | 203-721-6070
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Provider Business Mailing Address
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Address Line | 327 HUNTINGDON AVENUE
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City | WATERBURY
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State | CT
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Zip | 06708-1413
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Country | US
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Telephone | 203-721-6074
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Fax | 203-721-6070
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GLEN L DOBBS
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Credential |
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Telephone | 203-721-6074
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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 | 45099520-001
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License Number State | CT
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