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NPI 1609942523

NPI 1609942523 : WEBB MEDICAL SYSTEMS INC. : SHILLINGTON, PA

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General NPI Number Information
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    NPI Number           |    1609942523
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    Entity Type          |    Organization 
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    Legal Business Name  |    WEBB MEDICAL SYSTEMS INC. 
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Dates
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    Enumeration Date     |    11/24/2006
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    Last Update Date     |    04/27/2012
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Provider Practice Location Address
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    Address Line         |    6A PARKSIDE AVE 
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    City                 |    SHILLINGTON
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    State                |    PA
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    Zip                  |    19607-1124
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    Country              |    US
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    Telephone            |    610-777-2273
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    Fax                  |    610-777-4329
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Provider Business Mailing Address
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    Address Line         |    6A PARKSIDE AVE 
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    City                 |    SHILLINGTON
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    State                |    PA
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    Zip                  |    19607-1124
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    Country              |    US
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    Telephone            |    610-777-2273
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    Fax                  |    610-777-4329
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Authorized Official
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    Title or Position    |    DIRECTOR OF REIMBURSEMENT
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    Name                 |    MS. CYNTHIA A LIZAK 
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    Credential           |    
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    Telephone            |    610-440-0265
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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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Taxonomy #2
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Legacy Identifiers
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Identifier #1
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    Identifier Code      |    0071098180003
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    Identifier Type      |    MEDICAID
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    Identifier State     |    PA
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    Identifier Issuer    |    
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Proprietary Identifiers Ever Reported
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Identifier #1
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    Identifier Code      |    0071098180003
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    Identifier Type      |    MEDICAID
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    Identifier State     |    PA
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    Identifier Issuer    |    
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