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General NPI Number Information
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NPI Number | 1114207024
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Entity Type | Organization
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Legal Business Name | MED-E-CARE, INC.
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 7955 NATIONAL TPKE UNIT 100
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City | LOUISVILLE
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State | KY
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Zip | 40214-4903
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Country | US
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Telephone | 800-682-7163
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Fax | 800-289-3908
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Provider Business Mailing Address
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Address Line | 5773 PARK PLAZA CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3914
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Country | US
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Telephone | 317-288-4839
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Fax | 317-288-4853
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Authorized Official
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Title or Position | SR. VICE PRESIDENT
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Name | MR. CHIP CONNOR
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Credential |
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Telephone | 800-682-7163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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