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General NPI Number Information
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NPI Number | 1578097796
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Entity Type | Organization
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Legal Business Name | TNV MEDICAL
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/14/2017
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Provider Practice Location Address
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Address Line | 7 HEBDEEN ST
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City | JOHNSTON
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State | RI
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Zip | 02919-1418
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Country | US
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Telephone | 401-474-2854
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HEBDEEN ST
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City | JOHNSTON
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State | RI
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Zip | 02919-1418
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Country | US
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Telephone | 401-474-2854
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT A MALLANE JR.
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Credential |
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Telephone | 401-474-2854
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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 |
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License Number State | RI
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