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General NPI Number Information
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NPI Number | 1295910669
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Entity Type | Organization
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Legal Business Name | AMISH OAK FURNITURE COMPANY
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 268 W MAIN ST
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City | LOUDONVILLE
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State | OH
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Zip | 44842-1134
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Country | US
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Telephone | 419-994-5595
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Fax | 419-994-3860
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Provider Business Mailing Address
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Address Line | 268 W MAIN ST
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City | LOUDONVILLE
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State | OH
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Zip | 44842-1134
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Country | US
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Telephone | 419-994-5595
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Fax | 419-994-3860
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CHRIS D TUTTLE
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Credential |
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Telephone | 419-994-5595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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