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General NPI Number Information
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NPI Number | 1851533772
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Entity Type | Organization
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Legal Business Name | MEEKER MARSHALL SHOES
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 220 MILLCREEK PLZ 2070 INTERCHANGE ROAD
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City | ERIE
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State | PA
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Zip | 16565-1102
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Country | US
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Telephone | 814-868-2918
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Fax | 814-866-9395
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Provider Business Mailing Address
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Address Line | 220 MILLCREEK PLZ 2070 INTERCHANGE ROAD
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City | ERIE
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State | PA
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Zip | 16565-1102
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Country | US
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Telephone | 814-868-2918
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Fax | 814-866-9395
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARTHUR OLIGERI III
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Credential |
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Telephone | 814-868-2918
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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 | 25276555
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License Number State | PA
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