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General NPI Number Information
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NPI Number | 1801296082
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Entity Type | Organization
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Legal Business Name | RECOVERY PUMP, LLC
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 9 LACRUE AVE STE 2
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City | GLEN MILLS
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State | PA
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Zip | 19342-1062
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Country | US
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Telephone | 855-732-7867
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Fax |
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Provider Business Mailing Address
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Address Line | 9 LACRUE AVE STE 2
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City | GLEN MILLS
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State | PA
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Zip | 19342-1062
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Country | US
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Telephone | 855-732-7867
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVE KANTOR
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Credential |
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Telephone | 484-840-5023
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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 | 6000007765
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License Number State | PA
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