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General NPI Number Information
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NPI Number | 1134147655
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Entity Type | Organization
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Legal Business Name | ON-CALL MEDICAL EQUIPMENT & SUPPLY, INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 337 S CUMBERLAND ST
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City | LEBANON
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State | TN
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Zip | 37087-3605
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Country | US
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Telephone | 615-449-6190
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Fax | 615-449-6208
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Provider Business Mailing Address
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Address Line | 337 S CUMBERLAND ST
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City | LEBANON
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State | TN
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Zip | 37087-3605
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Country | US
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Telephone | 615-449-6190
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Fax | 615-449-6208
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Authorized Official
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Title or Position | CO OWNER
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Name | JAMIE C JOHNSON
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Credential |
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Telephone | 615-449-6190
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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 | 0000001064
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License Number State | TN
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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 | 0000001064
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License Number State | TN
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