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General NPI Number Information
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NPI Number | 1033571864
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Entity Type | Organization
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Legal Business Name | UNITED DME LLC
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 8924 E PINNACLE PEAK RD SUITE G5-114
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City | SCOTTSDALE
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State | AZ
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Zip | 85255
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Country | US
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Telephone | 480-565-3747
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29650 DEPT #880124
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City | PHOENIX
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State | AZ
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Zip | 85038-9650
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Country | US
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Telephone | 480-565-3747
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | PINNCALE HOLDINGS
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Credential |
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Telephone | 480-564-3747
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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 | AZ
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