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General NPI Number Information
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NPI Number | 1093794273
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Entity Type | Organization
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Legal Business Name | MINDEN HOMECARE EQUIPMENT & UNIFORMS
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 106 RYANS WAY
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City | MINDEN
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State | LA
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Zip | 71055-4230
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Country | US
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Telephone | 318-382-8500
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Fax | 318-382-9010
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Provider Business Mailing Address
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Address Line | 106 RYANS WAY
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City | MINDEN
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State | LA
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Zip | 71055-4230
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Country | US
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Telephone | 318-382-8500
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Fax | 318-382-9010
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Authorized Official
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Title or Position | OWNER
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Name | ROBN FISH
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Credential | CRTT
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Telephone | 318-382-8500
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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 | 06-0113638
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License Number State | LA
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