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NPI 1902897531

NPI 1902897531 : A&C MEDCIAL SUPPLIES & EQUIPMENT,INC : SOUTHBURY, CT

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General NPI Number Information
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    NPI Number           |    1902897531
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    Entity Type          |    Organization 
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    Legal Business Name  |    A&C MEDCIAL SUPPLIES & EQUIPMENT,INC 
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Dates
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    Enumeration Date     |    11/02/2005
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    Last Update Date     |    08/27/2012
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Provider Practice Location Address
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    Address Line         |    250 MAIN ST S 
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    City                 |    SOUTHBURY
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    State                |    CT
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    Zip                  |    06488-2263
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    Country              |    US
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    Telephone            |    203-262-1671
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    Fax                  |    203-262-1162
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Provider Business Mailing Address
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    Address Line         |    250 MAIN ST S 
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    City                 |    SOUTHBURY
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    State                |    CT
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    Zip                  |    06488-2263
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    Country              |    US
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    Telephone            |    203-262-1671
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    Fax                  |    203-262-1162
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Authorized Official
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    Title or Position    |    VP
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    Name                 |    MR. CRAIG M SCHUCK 
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    Credential           |    
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    Telephone            |    203-262-1671
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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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