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General NPI Number Information
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NPI Number | 1053411173
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 855 W MAPLE ST STE 120
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City | HARTVILLE
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State | OH
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Zip | 44632-9668
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Country | US
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Telephone | 330-877-6613
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Fax | 330-877-6618
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Provider Business Mailing Address
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Address Line | 855 W MAPLE ST STE 120
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City | HARTVILLE
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State | OH
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Zip | 44632-9668
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Country | US
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Telephone | 330-877-6613
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Fax | 330-877-6618
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Authorized Official
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Title or Position | .PRESIDENT
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Name | JEAN ANNE LANG
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Credential | D.O
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Telephone | 300-877-6613
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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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