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General NPI Number Information
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NPI Number | 1386947125
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Entity Type | Organization
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Legal Business Name | GORIN'S FURNITURE INC
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 49 NEW LONDON TPKE
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City | NORWICH
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State | CT
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Zip | 06360-2314
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Country | US
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Telephone | 860-887-2579
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Fax | 860-887-9375
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Provider Business Mailing Address
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Address Line | 49 NEW LONDON TPKE
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City | NORWICH
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State | CT
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Zip | 06360-2314
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Country | US
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Telephone | 860-887-2579
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Fax | 860-887-9375
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. GLEN GORIN
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Credential |
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Telephone | 860-887-2579
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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 | 0684258000
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License Number State | CT
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