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General NPI Number Information
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NPI Number | 1033276712
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Entity Type | Organization
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Legal Business Name | MRS-MEDICAL RESOURCES & SOLUTIONS LLC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3214 ELECTRIC RD SUITE 304
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City | ROANOKE
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State | VA
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Zip | 24018-6451
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Country | US
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Telephone | 540-989-0823
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Fax | 540-774-8554
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Provider Business Mailing Address
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Address Line | 3214 ELECTRIC RD SUITE 304
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City | ROANOKE
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State | VA
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Zip | 24018-6451
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Country | US
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Telephone | 540-989-0823
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Fax | 540-774-8554
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK G. SEIDEL
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Credential |
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Telephone | 540-989-0823
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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 | 0020518375
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License Number State | VA
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