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General NPI Number Information
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NPI Number | 1659774016
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Entity Type | Organization
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Legal Business Name | MID-ATLANTIC CATS LLC
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 23449 RUTT RD
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City | MILFORD
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State | DE
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Zip | 19963-4741
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Country | US
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Telephone | 443-995-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 23449 RUTT RD
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City | MILFORD
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State | DE
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Zip | 19963-4741
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Country | US
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Telephone | 443-995-6666
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER M. CORRADO
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Credential |
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Telephone | 443-995-6666
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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 | 2014102990
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License Number State | DE
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