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General NPI Number Information
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NPI Number | 1689059503
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Entity Type | Organization
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Legal Business Name | ASSOCIATED MEDICAL INC
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 1730 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-5941
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Country | US
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Telephone | 203-204-2874
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Fax | 860-865-0350
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Provider Business Mailing Address
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Address Line | 21 BUSINESS PARK DR
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City | BRANFORD
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State | CT
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Zip | 06405-2935
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Country | US
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Telephone | 203-204-2874
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Fax | 860-865-0350
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARCUS K SIMPSON
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Credential |
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Telephone | 203-204-2874
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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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