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General NPI Number Information
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NPI Number | 1164458535
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Entity Type | Organization
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Legal Business Name | SCOTT MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 4420 TAYLORSVILLE ROAD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424
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Country | US
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Telephone | 937-235-5366
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Fax | 937-235-0558
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Provider Business Mailing Address
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Address Line | 4420 TAYLORSVILLE ROAD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424
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Country | US
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Telephone | 937-235-5366
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Fax | 937-235-0558
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREGORY MICHAEL HATFIELD
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Credential |
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Telephone | 937-235-5366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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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 | 020852400
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License Number State | OH
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