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General NPI Number Information
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NPI Number | 1538271044
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Entity Type | Organization
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Legal Business Name | MED TECH INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 290 ARMISTICE BLVD
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City | PAWTUCKET
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State | RI
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Zip | 02861-2330
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Country | US
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Telephone | 401-724-9901
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Fax | 401-726-7536
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Provider Business Mailing Address
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Address Line | PO BOX 2263
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City | PAWTUCKET
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State | RI
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Zip | 02861-0263
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Country | US
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Telephone | 401-724-9901
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Fax | 401-726-7536
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Authorized Official
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Title or Position | OWNER
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Name | MR. GARY REIS
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Credential |
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Telephone | 401-724-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 122
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License Number State | RI
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