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General NPI Number Information
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NPI Number | 1114850997
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Entity Type | Organization
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Legal Business Name | SPECIALTY SALES & SERVICE LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 580 N MAIN ST STE 250D
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City | LOGAN
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State | UT
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Zip | 84321-2537
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Country | US
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Telephone | 801-679-1874
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Fax | 801-679-1875
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Provider Business Mailing Address
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Address Line | 580 N MAIN ST STE 250D
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City | LOGAN
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State | UT
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Zip | 84321-2537
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Country | US
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Telephone | 801-679-1874
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Fax | 801-679-1875
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Authorized Official
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Title or Position | MANAGER
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Name | MICHAEL ZELLER
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Credential |
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Telephone | 801-850-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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