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General NPI Number Information
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NPI Number | 1093809998
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Entity Type | Organization
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Legal Business Name | SUPERIOR MEDICAL SERVICES INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7582 CURRELL BLVD SIUTE 110
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City | WOODBURY
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State | MN
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Zip | 55125-2262
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Country | US
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Telephone | 651-735-9192
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Fax | 651-735-0011
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Provider Business Mailing Address
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Address Line | 7582 CURRELL BLVD SIUTE 110
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City | WOODBURY
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State | MN
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Zip | 55125-2262
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Country | US
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Telephone | 651-735-9192
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Fax | 651-735-0011
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NANCY LOU GUNDERSON
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Credential | RFM,CMF
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Telephone | 651-735-9192
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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 | 4971071
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License Number State | MN
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