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General NPI Number Information
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NPI Number | 1073696035
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Entity Type | Organization
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Legal Business Name | ROSE MEDICAL EQUIPMENT, INC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 261 D' EVEREAUX DR STE. 20
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City | NATCHEZ
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State | MS
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Zip | 39120-3783
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Country | US
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Telephone | 601-442-0087
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Fax | 601-445-7473
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Provider Business Mailing Address
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Address Line | 2825 ROSELAWN DR
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City | NATCHEZ
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State | MS
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Zip | 39120-4048
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Country | US
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Telephone | 601-442-0087
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Fax | 601-445-7473
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Authorized Official
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Title or Position | OWNER
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Name | ROSE JOHNSON
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Credential |
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Telephone | 601-446-8907
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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 | 8313151
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License Number State | MS
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