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General NPI Number Information
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NPI Number | 1699806810
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Entity Type | Organization
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Legal Business Name | DANIEL HARGROVE
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 1198 ROUTE 40
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City | PILESGROVE
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State | NJ
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Zip | 08098-3106
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Country | US
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Telephone | 856-769-5449
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Fax | 856-769-8930
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Provider Business Mailing Address
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Address Line | 798 ROUTE 45
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City | PILESGROVE
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State | NJ
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Zip | 08098-2803
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Country | US
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Telephone | 856-769-5449
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Fax | 856-769-8930
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL D HARGROVE
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Credential |
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Telephone | 856-769-9775
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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 |
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License Number State |
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