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General NPI Number Information
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NPI Number | 1073779518
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Entity Type | Organization
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Legal Business Name | MEDOX HEALTHCARE INC.
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 556 ARBOR HILL RD STE E
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City | KERNERSVILLE
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State | NC
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Zip | 27284-3321
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Country | US
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Telephone | 336-993-4700
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Fax | 336-993-6900
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Provider Business Mailing Address
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Address Line | 438 RALEIGH ST
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City | WILMINGTON
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State | NC
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Zip | 28412-6367
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Country | US
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Telephone | 910-796-3033
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Fax | 910-796-8841
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Authorized Official
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Title or Position | SECRETARY
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Name | MS. DENISE M DUNN
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Credential |
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Telephone | 910-796-3033
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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 |
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License Number State |
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