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General NPI Number Information
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NPI Number | 1720424583
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Entity Type | Organization
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Legal Business Name | ADVANCED MULTIMEDIA DEVICES, INC.
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 95 SHERWOOD AVE
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City | FARMINGDALE
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State | NY
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Zip | 11735-1717
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Country | US
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Telephone | 631-531-8888
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Fax | 631-531-8811
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Provider Business Mailing Address
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Address Line | 95 SHERWOOD AVE
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City | FARMINGDALE
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State | NY
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Zip | 11735-1717
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Country | US
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Telephone | 631-531-8888
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Fax | 631-531-8811
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | MR. ED BAKER
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Credential |
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Telephone | 631-531-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | NY
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