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General NPI Number Information
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NPI Number | 1700956059
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Entity Type | Organization
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Legal Business Name | INTERPRO SYSTEMS INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 29 OVERLOOK RD
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City | CHATHAM
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State | NJ
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Zip | 07928-1512
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Country | US
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Telephone | 888-889-9924
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Fax | 973-301-0899
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Provider Business Mailing Address
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Address Line | 29 OVERLOOK RD
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City | CHATHAM
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State | NJ
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Zip | 07928-1512
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Country | US
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Telephone | 888-889-9924
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Fax | 973-301-0899
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID RABE
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Credential | L.O.,L.P.C.O.
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Telephone | 888-889-9924
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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 | 45PR00000200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 45OR00000100
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License Number State | NJ
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