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General NPI Number Information
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NPI Number | 1184691446
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Entity Type | Organization
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Legal Business Name | HARRY'S MOBILE DISTRIBUTOR OF MEDICAL EQUIP
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 4661 HAYGOOD RD 109
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5435
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Country | US
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Telephone | 757-460-0883
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Fax | 757-460-0727
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Provider Business Mailing Address
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Address Line | 4661 HAYGOOD RD SUITE 109
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5435
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Country | US
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Telephone | 757-460-0883
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Fax | 757-460-0727
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Authorized Official
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Title or Position | OWNER / OPERATOR
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Name | HARRY SANCHEZ
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Credential |
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Telephone | 757-470-2388
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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 | VA
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