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General NPI Number Information
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NPI Number | 1578681581
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Entity Type | Organization
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Legal Business Name | BIKE-ON.COM, INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 54 TIFFANY RD
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City | COVENTRY
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State | RI
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Zip | 02816-4417
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Country | US
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Telephone | 401-615-0339
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Fax | 401-821-7544
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Provider Business Mailing Address
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Address Line | 54 TIFFANY RD
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City | COVENTRY
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State | RI
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Zip | 02816-4417
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Country | US
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Telephone | 401-615-0339
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Fax | 401-821-7544
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Authorized Official
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Title or Position | VICE PRESIDENT, SECRETARY
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Name | MR. SCOTT PELLETT
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Credential |
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Telephone | 401-615-0339
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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 |
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