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General NPI Number Information
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NPI Number | 1790973816
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Entity Type | Organization
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Legal Business Name | OVREN MOBILITY PRODUCTS
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 3020 SHELLHART RD
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City | NORTON
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State | OH
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Zip | 44203-6371
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Country | US
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Telephone | 330-825-7296
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 SHELLHART RD
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City | NORTON
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State | OH
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Zip | 44203-6371
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Country | US
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Telephone | 330-825-7296
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | MR. MICHAEL JOSEPH NERVO I
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Credential |
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Telephone | 330-825-7296
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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 |
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