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General NPI Number Information
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NPI Number | 1629195946
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Entity Type | Organization
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Legal Business Name | MACH SERVICES
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 5931 GENTLE CALL
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1233
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Country | US
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Telephone | 410-235-0699
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Fax | 443-535-0968
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Provider Business Mailing Address
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Address Line | 5931 GENTLE CALL
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1233
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Country | US
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Telephone | 443-535-0810
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Fax | 443-535-0968
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Authorized Official
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Title or Position | OWNER
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Name | MISS MARGARET-ANN CORETTA HALSTEAD
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Credential |
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Telephone | 443-535-0810
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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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