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General NPI Number Information
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NPI Number | 1710174982
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Entity Type | Organization
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Legal Business Name | THE RIGHT FIT
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 821 CHARLESTON AVE STE B
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City | MATTOON
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State | IL
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Zip | 61938-4202
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Country | US
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Telephone | 217-234-3250
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Fax | 217-234-4323
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Provider Business Mailing Address
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Address Line | 821 CHARLESTON AVE STE B
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City | MATTOON
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State | IL
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Zip | 61938-4202
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Country | US
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Telephone | 217-234-3250
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Fax | 217-234-4323
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES A LATHROP
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Credential | C. PED
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Telephone | 217-234-3250
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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 | IL
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