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General NPI Number Information
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NPI Number | 1154472801
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Entity Type | Organization
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Legal Business Name | MORVANTS SURGICAL GARMENTS
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 3924 BARRON ST
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City | METAIRIE
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State | LA
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Zip | 70002-5734
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Country | US
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Telephone | 504-466-2006
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Fax | 504-466-2227
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Provider Business Mailing Address
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Address Line | 3924 BARRON ST
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City | METAIRIE
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State | LA
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Zip | 70002-5734
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Country | US
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Telephone | 504-466-2006
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Fax | 504-466-2227
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ZACHARY CHAUFFE
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Credential |
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Telephone | 504-466-2006
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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 | 260010811
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License Number State | LA
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