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General NPI Number Information
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NPI Number | 1073119855
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Entity Type | Organization
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Legal Business Name | CROSSROADS ELECTRONICS & SECURITY, LLC
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 1919 S OHIO CT
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City | SALINA
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State | KS
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Zip | 67401-6602
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Country | US
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Telephone | 785-201-3811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 253
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City | SOLOMON
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State | KS
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Zip | 67480-0253
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHELLE HANSEN
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Credential |
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Telephone | 785-201-3811
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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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