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General NPI Number Information
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NPI Number | 1043406457
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Entity Type | Organization
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Legal Business Name | PARTNERS MEDICAL SUPPLY CORPORATION
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 902 C M FAGAN DR SUITE A
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City | HAMMOND
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State | LA
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Zip | 70403-6043
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Country | US
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Telephone | 985-340-2011
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Fax | 985-340-2041
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Provider Business Mailing Address
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Address Line | PO BOX 87356
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City | BATON ROUGE
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State | LA
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Zip | 70879-8356
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Country | US
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Telephone | 225-485-7523
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Fax | 225-673-4425
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Authorized Official
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Title or Position | PRESIDENT
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Name | HENRY L JONES
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Credential |
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Telephone | 985-340-2011
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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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