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General NPI Number Information
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NPI Number | 1124291430
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Entity Type | Organization
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Legal Business Name | UNIQUE MEDICAL EQUIPMENT
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 317 DEVEREAUX DR E
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City | NATCHEZ
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State | MS
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Zip | 39120-4215
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Country | US
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Telephone | 601-442-2702
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Fax | 601-442-2706
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Provider Business Mailing Address
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Address Line | 317 DEVEREAUX DR E
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City | NATCHEZ
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State | MS
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Zip | 39120-4215
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Country | US
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Telephone | 601-442-2702
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Fax | 601-442-2706
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Authorized Official
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Title or Position | OWNER
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Name | ANISSA A HOOKS
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Credential |
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Telephone | 601-597-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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