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General NPI Number Information
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NPI Number | 1497009112
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Entity Type | Organization
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Legal Business Name | SUPERIOR MEDICAL EQUIPMENT GROUP, INC.
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 59 N. 7TH STREET
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2746
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Country | US
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Telephone | 717-709-4731
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1747
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City | ELLICOTT CITY
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State | MD
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Zip | 21041-1747
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Country | US
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Telephone | 410-461-4675
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Fax | 410-461-5424
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. DAVID LAWRENCE ROUEN
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Credential |
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Telephone | 410-461-4675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | MD
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Taxonomy #2
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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 | MD
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