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General NPI Number Information
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NPI Number | 1700164258
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Entity Type | Organization
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Legal Business Name | SPECIALTY FITTINGS, INCORPORATED
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 105 MARYS AVE
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City | KINGSTON
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State | NY
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Zip | 12401-5848
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Country | US
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Telephone | 845-340-1000
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Fax | 845-340-1001
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Provider Business Mailing Address
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Address Line | PO BOX 1608
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-0608
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Country | US
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Telephone | 845-340-1000
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Fax | 845-340-1001
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANN MOWRY
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Credential | CMF, MSED
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Telephone | 845-340-1000
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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 | NY
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