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General NPI Number Information
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NPI Number | 1013161686
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Entity Type | Organization
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Legal Business Name | AGAPE MEDICAL SUPPLY & DURABLE MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 11/10/2008
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Provider Practice Location Address
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Address Line | 2950 STONE HOGAN RD SUITE 106
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City | ATLANTA
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State | GA
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Zip | 30331-2837
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Country | US
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Telephone | 404-310-0803
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Fax | 404-696-9826
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Provider Business Mailing Address
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Address Line | 2950 STONE HOGAN RD SUITE 106
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City | ATLANTA
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State | GA
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Zip | 30331-2837
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Country | US
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Telephone | 404-310-0809
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Fax | 404-696-9826
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Authorized Official
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Title or Position | CFO
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Name | MS. MARILYN E FRANKS
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Credential |
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Telephone | 404-210-9371
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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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