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General NPI Number Information
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NPI Number | 1376649590
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Entity Type | Organization
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Legal Business Name | DICE SURGICAL AND HOME HEALTH CENTER, INC.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 1300 SHERIDAN ST SUITE 2
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3760
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Country | US
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Telephone | 570-322-0656
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Fax | 570-322-0659
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Provider Business Mailing Address
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Address Line | 1300 SHERIDAN ST SUITE 2
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3760
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Country | US
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Telephone | 570-322-0656
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Fax | 570-322-0659
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. PHILIP JAMES MARRIE
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Credential |
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Telephone | 570-322-0656
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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 | 8000000476
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License Number State | PA
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