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General NPI Number Information
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NPI Number | 1609067925
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Entity Type | Organization
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Legal Business Name | PAYNE SYSTEMS, INC.
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 3035 W DIAMOND ST
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City | PHILADELPHIA
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State | PA
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Zip | 19121-1142
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Country | US
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Telephone | 215-680-7259
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 583
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City | WYNNEWOOD
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State | PA
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Zip | 19096-0583
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Country | US
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Telephone | 215-680-7259
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. SHARON H. PAYNE
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Credential |
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Telephone | 215-680-7259
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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 | 82290417
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License Number State | PA
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