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General NPI Number Information
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NPI Number | 1982726691
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Entity Type | Organization
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Legal Business Name | LEADING EDGE MEDICAL, INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 DUNCAN DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1649
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Country | US
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Telephone | 732-658-3535
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Fax | 732-658-3535
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Provider Business Mailing Address
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Address Line | 30 DUNCAN DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1649
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Country | US
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Telephone | 732-536-4111
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Fax | 732-972-5176
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Authorized Official
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Title or Position | PRES
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Name | MR. ELLIOT KAUFMAN
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Credential |
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Telephone | 732-658-3535
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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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