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General NPI Number Information
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NPI Number | 1992990485
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Entity Type | Organization
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Legal Business Name | ROS SURGICAL SUPPLY COMP.
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Dates
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Enumeration Date | 09/08/2007
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 6 LIBERTY ST
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City | HAWTHORNE
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State | NY
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Zip | 10532-1304
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Country | US
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Telephone | 914-747-2767
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Fax | 914-747-2757
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Provider Business Mailing Address
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Address Line | 6 LIBERTY ST
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City | HAWTHORNE
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State | NY
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Zip | 10532-1304
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Country | US
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Telephone | 914-747-2767
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Fax | 914-747-2757
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Authorized Official
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Title or Position | OWNER
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Name | GERALD SULLIVAN
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Credential |
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Telephone | 914-747-2767
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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 | 1235170001
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License Number State | NY
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