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General NPI Number Information
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NPI Number | 1295728434
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Entity Type | Organization
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Legal Business Name | SECOND WIND ENTERPRISES, INC.
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 5221A MILITIA HILL RD
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1216
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Country | US
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Telephone | 610-941-4555
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Fax | 610-941-4557
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Provider Business Mailing Address
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Address Line | 5221A MILITIA HILL RD
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1216
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Country | US
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Telephone | 610-941-4555
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Fax | 610-941-4557
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Authorized Official
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Title or Position | OWNER/VICE PRESIDENT
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Name | MRS. NAOMI ROUFS EDWARDS
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Credential |
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Telephone | 949-640-0330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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