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General NPI Number Information
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NPI Number | 1134448293
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Entity Type | Organization
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Legal Business Name | CURTIS MEDICAL LLC
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 200 S KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-6622
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Country | US
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Telephone | 573-819-2209
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Fax | 573-474-8299
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Provider Business Mailing Address
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Address Line | 200 S KEENE ST
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City | COLUMBIA
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State | MO
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Zip | 65201-6622
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Country | US
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Telephone | 573-819-2209
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Fax | 573-474-8299
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. CURTIS D HALE
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Credential |
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Telephone | 573-819-2209
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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 | T211057028
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License Number State | MO
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