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General NPI Number Information
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NPI Number | 1083925416
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Entity Type | Organization
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Legal Business Name | CASCADE MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 14 N WENTWORTH AVE
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City | LONDONDERRY
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State | NH
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Zip | 03053-7438
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Country | US
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Telephone | 603-537-2300
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Fax | 603-537-2308
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Provider Business Mailing Address
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Address Line | 720 COOL SPRINGS BLVD SUITE 600
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City | FRANKLIN
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State | TN
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Zip | 37067-2626
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Country | US
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Telephone | 615-771-8839
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Fax | 615-771-8849
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | DAVID BRYANT
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Credential |
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Telephone | 615-771-8839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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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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