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General NPI Number Information
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NPI Number | 1750760419
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Entity Type | Organization
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Legal Business Name | SAFE STEP WALK IN TUB CO
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 402 BNA DR SUITE 350
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City | NASHVILLE
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State | TN
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Zip | 37217-2519
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Country | US
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Telephone | 727-433-4763
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Fax |
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Provider Business Mailing Address
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Address Line | 402 BNA DR SUITE 350
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City | NASHVILLE
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State | TN
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Zip | 37217-2519
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DEMAREE ANGELOCCI
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Credential |
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Telephone | 727-433-4763
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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 |
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