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NPI 1144383068

NPI 1144383068 : MEDICAL SUPPLY SOLUTIONS, INC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1144383068
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL SUPPLY SOLUTIONS, INC 
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Dates
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    Enumeration Date     |    12/19/2006
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    Last Update Date     |    09/14/2009
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Provider Practice Location Address
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    Address Line         |    1000 W WILSHIRE BLVD STE 123 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73116-7036
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    Country              |    US
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    Telephone            |    866-696-7528
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    Fax                  |    866-696-7529
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Provider Business Mailing Address
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    Address Line         |    1000 W WILSHIRE BLVD STE 123 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73116-7036
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    Country              |    US
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    Telephone            |    866-696-7528
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    Fax                  |    866-696-7529
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. GLEN D. WILLIAMS 
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    Credential           |    
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    Telephone            |    866-696-7528
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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       |    5251180002
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    License Number State |    OK
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