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General NPI Number Information
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NPI Number | 1841359320
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Entity Type | Organization
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Legal Business Name | ADVANCE MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 121 W. GIRARD AVE.
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City | PHILADELPHIA
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State | PA
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Zip | 19123
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Country | US
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Telephone | 215-426-1731
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Fax | 215-739-3428
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Provider Business Mailing Address
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Address Line | 121 W. GIRARD AVE.
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City | PHILADELPHIA
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State | PA
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Zip | 19123
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Country | US
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Telephone | 215-426-1731
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Fax | 215-739-3428
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICK ROSENBLUM
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Credential | DURABLE MEDICAL EQUI
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Telephone | 215-426-1731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | PA
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