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General NPI Number Information
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NPI Number | 1427149186
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Entity Type | Organization
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Legal Business Name | FITZSIMMONS SURGICAL SUPPLY INC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 6177 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-3001
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Country | US
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Telephone | 219-887-7718
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Fax | 219-887-0460
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Provider Business Mailing Address
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Address Line | PO BOX 1127
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City | TINLEY PARK
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State | IL
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Zip | 60477-7927
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Country | US
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Telephone | 708-532-1199
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Fax | 708-532-4411
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS J FITZSIMMONS
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Credential |
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Telephone | 708-532-1199
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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 | IN
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