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General NPI Number Information
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NPI Number | 1164493003
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Entity Type | Organization
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Legal Business Name | MD MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 7687 S 180TH ST
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City | KENT
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State | WA
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Zip | 98032-1048
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Country | US
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Telephone | 425-556-1490
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Fax | 425-867-5087
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Provider Business Mailing Address
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Address Line | 6813 S 220TH ST
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City | KENT
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State | WA
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Zip | 98032-1921
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Country | US
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Telephone | 425-556-1490
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Fax | 425-867-5087
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Authorized Official
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Title or Position | PRESIDENT
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Name | DON EDWARDS
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Credential |
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Telephone | 425-556-1490
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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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