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General NPI Number Information
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NPI Number | 1285097600
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Entity Type | Organization
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Legal Business Name | PHILLY DURABLE MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 04/02/2016
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Last Update Date | 04/02/2016
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Provider Practice Location Address
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Address Line | 19B RIVERHILL VILLAGE 2
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City | NEW HOPE
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State | PA
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Zip | 18938-1262
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Country | US
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Telephone | 917-349-6957
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Fax |
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Provider Business Mailing Address
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Address Line | 19B RIVERHILL VILLAGE 2
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City | NEW HOPE
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State | PA
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Zip | 18938-1262
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Country | US
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Telephone | 917-349-6957
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID FILTRANTI
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Credential | PA-C
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Telephone | 917-349-6957
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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 | 6000008882
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License Number State | PA
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