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NPI 1952524084

NPI 1952524084 : ADVANCED THERAPEUTIC EQUIPMENT : BLOOMINGTON, IN

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General NPI Number Information
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    NPI Number           |    1952524084
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANCED THERAPEUTIC EQUIPMENT 
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Dates
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    Enumeration Date     |    04/10/2007
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    Last Update Date     |    04/06/2009
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Provider Practice Location Address
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    Address Line         |    100 N CURRY PIKE 
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    City                 |    BLOOMINGTON
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    State                |    IN
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    Zip                  |    47404-2593
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    Country              |    US
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    Telephone            |    812-332-5110
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    Fax                  |    812-349-4003
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Provider Business Mailing Address
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    Address Line         |    100 N CURRY PIKE 
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    City                 |    BLOOMINGTON
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    State                |    IN
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    Zip                  |    47404-2593
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    Country              |    US
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    Telephone            |    812-332-5110
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    Fax                  |    812-349-4003
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. CARL J. BARZILAUSKAS 
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    Credential           |    
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    Telephone            |    812-332-5110
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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 |    IN
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