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General NPI Number Information
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NPI Number | 1184697948
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Entity Type | Organization
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Legal Business Name | GLOBAL MEDICAL EQUIPMENT AND SUPPLIES
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 2968 NEWBURG RD
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City | HALEYVILLE
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State | AL
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Zip | 35565-1747
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Country | US
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Telephone | 205-486-6187
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Fax | 205-486-6948
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Provider Business Mailing Address
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Address Line | 2968 NEWBURG RD
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City | HALEYVILLE
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State | AL
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Zip | 35565-1747
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Country | US
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Telephone | 205-486-6187
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Fax | 205-486-6948
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. RANDY LEE PUCKETT JR.
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Credential |
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Telephone | 205-486-6187
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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 | 11778
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License Number State | AL
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