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General NPI Number Information
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NPI Number | 1548651995
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Entity Type | Organization
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Legal Business Name | CRAFTSMEN/ACCESS UNLIMITED
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 570 HANCE RD
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City | BINGHAMTON
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State | NY
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Zip | 13903-5700
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Country | US
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Telephone | 607-669-4822
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Fax | 607-669-4595
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Provider Business Mailing Address
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Address Line | 570 HANCE RD
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City | BINGHAMTON
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State | NY
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Zip | 13903-5700
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Country | US
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Telephone | 607-669-4822
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Fax | 607-669-4595
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Authorized Official
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Title or Position | SALES MANAGER
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Name | MR. WALTER W HUBER
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Credential | NA
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Telephone | 607-669-4822
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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 |
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License Number State |
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