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General NPI Number Information
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NPI Number | 1528260569
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Entity Type | Organization
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Legal Business Name | SECURITY SYSTEMS OF PENNSYLVANIA
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 829 GRANT ST
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City | FRANKLIN
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State | PA
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Zip | 16323-2201
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Country | US
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Telephone | 814-432-7983
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 868
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City | FRANKLIN
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State | PA
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Zip | 16323-0868
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Country | US
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Telephone |
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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. GARY MOYSE
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Credential |
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Telephone | 814-432-7983
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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 | 61071869
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License Number State | PA
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