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General NPI Number Information
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NPI Number | 1154514669
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Entity Type | Organization
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Legal Business Name | BANDZ, INC.
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 1000 WEST MAIN ST.
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City | SMELTERVILLE
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State | ID
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Zip | 83868-0219
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Country | US
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Telephone | 208-784-1178
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Fax | 208-786-2911
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Provider Business Mailing Address
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Address Line | PO BOX 219 1000 WEST MAIN ST
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City | SMELTERVILLE
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State | ID
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Zip | 83868-0219
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Country | US
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Telephone | 208-784-1178
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Fax | 208-786-2911
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES CLIFTON MARSHALL III
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Credential |
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Telephone | 208-784-1178
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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 |
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License Number State |
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