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General NPI Number Information
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NPI Number | 1912224072
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Entity Type | Organization
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Legal Business Name | EXECUTONE COMMUNICATIONS SYSTEMS
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 3315 CENTENNIAL RD UNIT J
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City | SYLVANIA
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State | OH
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Zip | 43560-9418
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Country | US
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Telephone | 419-843-6868
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Fax | 419-843-6444
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Provider Business Mailing Address
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Address Line | 3315 CENTENNIAL RD UNIT J
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City | SYLVANIA
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State | OH
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Zip | 43560-9418
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Country | US
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Telephone | 419-843-6868
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Fax | 419-843-6444
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDREW A MANCE
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Credential |
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Telephone | 419-843-6868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number | 48175382
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License Number State | OH
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