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General NPI Number Information
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NPI Number | 1760875868
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Entity Type | Organization
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Legal Business Name | SURGICAL RECOVERY SOLUTIONS ,LLC
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 257 SOUND BEACH AVE
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1607
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Country | US
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Telephone | 203-918-8933
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Fax | 866-202-9300
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Provider Business Mailing Address
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Address Line | 257 SOUND BEACH AVE
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1449
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Country | US
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Telephone | 203-918-8933
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Fax | 866-202-9300
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Authorized Official
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Title or Position | OWNER
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Name | ANIA RECKO-TULLY
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Credential |
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Telephone | 203-918-8933
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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 | CT
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