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General NPI Number Information
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NPI Number | 1093809899
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Entity Type | Organization
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Legal Business Name | LINCO MEDICAL & SUPPLY INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 116 NOB HILL DRIVE
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City | RUIDOSO
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State | NM
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Zip | 88345
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Country | US
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Telephone | 505-257-7174
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Fax | 505-257-5362
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Provider Business Mailing Address
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Address Line | 116 NOB HILL DRIVE
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City | RUIDOSO
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State | NM
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Zip | 88345
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Country | US
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Telephone | 505-257-7174
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Fax | 505-257-5362
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Authorized Official
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Title or Position | ADMINISTRATOR OWNER
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Name | VERNA RUTH ADAMS
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Credential |
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Telephone | 505-257-7174
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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 |
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License Number State |
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