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General NPI Number Information
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NPI Number | 1265670483
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Entity Type | Organization
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Legal Business Name | PA MEDICAL EQUIPMENT AND SUPPLIES
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 131 CHURCH RD SUITE 3G
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City | NORTH WALES
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State | PA
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Zip | 19454-4141
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Country | US
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Telephone | 267-480-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 131 CHURCH RD SUITE 3G
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City | NORTH WALES
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State | PA
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Zip | 19454-4141
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Country | US
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Telephone | 267-480-7171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOMINIC NUNU
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Credential | MIS
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Telephone | 888-216-1544
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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 | 246034623/000
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License Number State | PA
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