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General NPI Number Information
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NPI Number | 1881256451
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Entity Type | Organization
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Legal Business Name | MEDICAL DISCOVERY SYSTEMS, LLC
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 5425 OXFORD AVE. 5425 OXFORD AVE. SUITE (3 A)
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City | PHILADELPHIA
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State | PA
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Zip | 19124
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Country | US
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Telephone | 856-383-2800
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Fax | 856-288-0909
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Provider Business Mailing Address
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Address Line | 141 - I ROUTE 130 SOUTH #334
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City | CINNAMINSON
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State | NJ
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Zip | 08077
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Country | US
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Telephone | 856-383-2800
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Fax | 856-288-0909
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Authorized Official
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Title or Position | PRESIDENT
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Name | WAYNE ELLIOTT OLIVER
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Credential |
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Telephone | 215-850-1649
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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 |
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