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General NPI Number Information
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NPI Number | 1073543807
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Entity Type | Organization
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Legal Business Name | QBC HOME MEDICAL SUPPLY
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 3551 NORTHWEST EVANGELINE THRWY
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City | CARENCRO
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State | LA
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Zip | 70520
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Country | US
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Telephone | 337-896-2314
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Fax | 337-896-2319
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | CARENCRO
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State | LA
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Zip | 70520-0190
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Country | US
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Telephone | 337-896-2314
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Fax | 337-896-2319
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. QUINTON D OLIPHANT
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Credential |
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Telephone | 337-896-2314
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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 | 1527416
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License Number State | LA
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