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General NPI Number Information
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NPI Number | 1639260409
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Entity Type | Organization
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Legal Business Name | FINE FITTINGS LLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 18795 N REEMS RD STE G-113
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City | SURPRISE
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State | AZ
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Zip | 85374-8685
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Country | US
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Telephone | 623-214-3324
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Fax | 623-214-3368
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Provider Business Mailing Address
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Address Line | 18795 N REEMS RD STE G-113
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City | SURPRISE
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State | AZ
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Zip | 85374-8685
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Country | US
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Telephone | 623-214-3324
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Fax | 623-214-3368
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Authorized Official
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Title or Position | CFO AND OWNER
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Name | MRS. BENJAMIN GREGORY SMITH
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Credential | DO
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Telephone | 623-214-3324
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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 | 04008386
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License Number State | AZ
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