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General NPI Number Information
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NPI Number | 1386869600
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Entity Type | Organization
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Legal Business Name | COONEY & O'HARA MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 622 MAIN ST
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City | FOREST CITY
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State | PA
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Zip | 18421-1481
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Country | US
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Telephone | 570-785-5299
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Fax |
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Provider Business Mailing Address
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Address Line | 1780 BRICK AVE
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City | SCRANTON
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State | PA
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Zip | 18508-2775
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Country | US
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Telephone | 570-344-4449
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. ROBERT F COONEY
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Credential |
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Telephone | 570-344-4449
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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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