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General NPI Number Information
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NPI Number | 1104806066
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Entity Type | Organization
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Legal Business Name | DALECO, INC.
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1107 W LIBERTY ST
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City | FARMINGTON
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State | MO
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Zip | 63640-1921
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Country | US
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Telephone | 573-756-2799
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Fax | 573-756-5563
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Provider Business Mailing Address
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Address Line | 120 E. KARSCH BLVD
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City | FARMINGTON
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State | MO
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Zip | 63640
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Country | US
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Telephone | 573-747-2104
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Fax | 573-756-5563
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN LAFRANCE JR.
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Credential |
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Telephone | 870-850-8312
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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 | 2003019223
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2003019223
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License Number State | MO
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