MEDICARE: SECURITY SPECIALISTS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333300000X	Emergency Response System Companies	U12026000	VA

General Provider Information

NPI Number	:	1134493869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SECURITY SPECIALISTS, INC.

Provider Business Mailing Address
First Line	:	3973 DEEP ROCK RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1433
Country	:	US
Telephone Number	:	804-934-0000
Fax Number	:	804-934-0099

Provider Business Practice Location Address
First Line	:	3973 DEEP ROCK RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1433
Country	:	US
Telephone Number	:	804-934-0000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANIEL WARREN DUBANSKY
Credential	:
Telephone Number	:	804-934-0000

Provider Enumeration Date	:	02/27/2012
Last Update Date	:	11/20/2013

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Directions to “SECURITY SPECIALISTS, INC. ” Practice Location

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