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General NPI Number Information
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NPI Number | 1073719589
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Entity Type | Organization
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Legal Business Name | TEAM ADAPTIVE, INC.
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 1251 BOLTONS BRANCH DRIVE
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City | MOBILE
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State | AL
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Zip | 36606
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Country | US
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Telephone | 251-471-1088
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Fax | 251-471-1523
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Provider Business Mailing Address
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Address Line | 978 TOMMY MUNRO DR
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City | BILOXI
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State | MS
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Zip | 39532-2130
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Country | US
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Telephone | 251-471-1088
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Fax | 251-471-1523
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Authorized Official
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Title or Position | CEO
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Name | MR. SCOTTY SCHONEWITZ
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Credential |
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Telephone | 251-471-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 2007-010191
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License Number State | AL
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