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General NPI Number Information
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NPI Number | 1093931966
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Entity Type | Organization
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Legal Business Name | PR NURSING SUPPLY LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 534 MURRAY ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8019
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Country | US
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Telephone | 318-443-9614
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Fax | 318-487-1957
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Provider Business Mailing Address
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Address Line | PO BOX 191
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City | ALEXANDRIA
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State | LA
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Zip | 71309-0191
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Country | US
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Telephone | 318-443-9614
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Fax | 318-487-1957
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Authorized Official
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Title or Position | DIRECTOR OFFICER
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Name | MRS. RONDA LOU MCNEAL
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Credential |
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Telephone | 318-443-9614
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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 | LA
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