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General NPI Number Information
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NPI Number | 1386011278
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Entity Type | Organization
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Legal Business Name | ST. REGIS MEDICAL EQUIPMENT CORP.
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 8195 SENECA TPKE
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City | CLINTON
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State | NY
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Zip | 13323-1100
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Country | US
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Telephone | 315-732-7040
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Fax | 315-797-2854
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Provider Business Mailing Address
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Address Line | 233 ELIZABETH ST
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City | UTICA
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State | NY
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Zip | 13501-2211
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Country | US
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Telephone | 315-732-7040
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Fax | 315-797-2854
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. MARIA GIGLIO
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Credential |
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Telephone | 315-732-7040
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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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