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General NPI Number Information
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NPI Number | 1417184417
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Entity Type | Organization
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Legal Business Name | COMPRESSION CONCEPTS, LLC
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 201-344-3272
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Fax | 732-960-1415
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Provider Business Mailing Address
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Address Line | 5304 BUTTONWOOD CT
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City | MONMOUTH JCT
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State | NJ
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Zip | 08852-2299
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Country | US
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Telephone | 201-344-3272
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Fax | 732-960-1415
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA H SHIELDS
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Credential |
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Telephone | 201-344-3272
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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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