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General NPI Number Information
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NPI Number | 1609938042
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Entity Type | Organization
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Legal Business Name | SIMON MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 19B TECH CIR
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City | NATICK
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State | MA
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Zip | 01760-1023
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Country | US
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Telephone | 508-655-0978
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Fax | 508-653-6238
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Provider Business Mailing Address
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Address Line | 1950 RUTGERS UNIVERSITY BLVD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4537
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Country | US
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Telephone | 732-348-0108
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Fax | 732-348-0208
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Authorized Official
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Title or Position | CEO
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Name | ALAN BERMAN
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Credential |
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Telephone | 732-348-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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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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