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General NPI Number Information
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NPI Number | 1447429063
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Entity Type | Organization
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Legal Business Name | THE TRAINING ROOM INC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 1899 BILLINGSGATE CIR
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City | RICHMOND
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State | VA
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Zip | 23238-4243
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Country | US
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Telephone | 800-500-1878
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Fax | 410-374-5000
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Provider Business Mailing Address
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Address Line | PO BOX 611
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City | HAMPSTEAD
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State | MD
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Zip | 21074-0611
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Country | US
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Telephone | 800-500-1878
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Fax | 410-374-5000
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM A BOLESTA
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Credential | BOC ATC
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Telephone | 800-500-1878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | T07341000
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License Number State | VA
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