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General NPI Number Information
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NPI Number | 1326147307
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Entity Type | Organization
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Legal Business Name | MPS SURGICAL SUPPLY CORP
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 1167 FIRST AVENUE
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 212-744-8080
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Fax | 212-737-1532
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Provider Business Mailing Address
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Address Line | 25 ARLENE DR
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City | ROCKAWAY
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State | NJ
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Zip | 07866-2234
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Country | US
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Telephone | 888-586-9480
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Fax | 973-586-9466
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARNOLD BERG
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Credential |
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Telephone | 888-586-9480
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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 |
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License Number State |
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