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General NPI Number Information
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NPI Number | 1699154617
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Entity Type | Organization
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Legal Business Name | D & J SALES COMPANY, LLC
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 10772 HICKORY RIDGE ROAD
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City | COLUMIA
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State | MD
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Zip | 21044
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Country | US
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Telephone | 410-561-6227
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Fax |
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Provider Business Mailing Address
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Address Line | 8 NEWPORT DR SUITE A
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City | FOREST HILL
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State | MD
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Zip | 21050-1615
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Country | US
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Telephone | 410-893-1116
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Fax | 410-893-1216
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | MS. SHARON LEONA DEVINE
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Credential |
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Telephone | 443-470-4010
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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 | 12955909
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License Number State | MD
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