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General NPI Number Information
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NPI Number | 1518990654
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Entity Type | Organization
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Legal Business Name | R & V MEDICAL SUPPLY, LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 1420 WALNUT ST SUITE 1107
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City | PHILADELPHIA
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State | PA
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Zip | 19102-4017
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Country | US
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Telephone | 215-735-0757
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 WALNUT ST SUITE 1107
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City | PHILADELPHIA
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State | PA
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Zip | 19102-4017
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Country | US
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Telephone | 215-735-0757
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT M SAUL
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Credential |
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Telephone | 215-873-9181
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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 | 332B0000X
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License Number State | PA
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