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General NPI Number Information
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NPI Number | 1104349208
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Entity Type | Organization
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Legal Business Name | TRANSUNION MEDICAL SUPPLY AND SERVICES, INC
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 110 HABERSHAM DR STE 106
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1381
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Country | US
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Telephone | 770-371-5035
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Fax | 770-800-1871
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Provider Business Mailing Address
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Address Line | 110 HABERSHAM DR STE 106
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1381
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Country | US
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Telephone | 770-371-5035
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Fax | 770-800-1871
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Authorized Official
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Title or Position | CEO
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Name | RASHEED BELLO
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Credential |
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Telephone | 770-856-7126
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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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