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General NPI Number Information
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NPI Number | 1285837658
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Entity Type | Organization
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Legal Business Name | SUBURBAN INDUSTRIAL MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21 W FORNANCE ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3300
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Country | US
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Telephone | 610-277-4851
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1471
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City | BLUE BELL
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State | PA
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Zip | 19422-0439
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Country | US
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Telephone | 610-277-4851
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JEROME SILBERMAN
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Credential |
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Telephone | 610-277-4851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 6000004213
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License Number State | PA
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