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General NPI Number Information
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NPI Number | 1033292727
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Entity Type | Organization
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Legal Business Name | VONPATTON'S, LLC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2218 COLUMBIA AVE
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City | PRENTISS
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State | MS
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Zip | 39474
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Country | US
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Telephone | 601-792-2224
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Fax | 601-792-2444
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Provider Business Mailing Address
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Address Line | PO BOX 953
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City | PRENTISS
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State | MS
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Zip | 39474-0953
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Country | US
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Telephone | 601-792-2224
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Fax | 601-792-2444
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Authorized Official
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Title or Position | PRESIDENT
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Name | VON NORWOOD
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Credential |
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Telephone | 601-792-2224
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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 | 06730/11.1
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License Number State | MS
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