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General NPI Number Information
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NPI Number | 1033268784
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Entity Type | Organization
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Legal Business Name | KERRY'S MEDICAL INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 5065 PYRAMID LAKE HIGHWAY
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City | SPARKS
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State | NV
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Zip | 89436
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Country | US
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Telephone | 775-425-1600
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Fax | 775-425-1667
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Provider Business Mailing Address
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Address Line | 2204 W CAPITOL AVE
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-2425
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Country | US
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Telephone | 916-374-0400
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Fax | 916-374-0404
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TIMOTHY LANE MILBERGER
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Credential |
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Telephone | 916-374-0400
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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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