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General NPI Number Information
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NPI Number | 1184915506
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Entity Type | Organization
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Legal Business Name | PHYSICIAN SALES & SERVICE
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 4345 SOUTHPOINT BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6166
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Country | US
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Telephone | 904-380-4512
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Fax |
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Provider Business Mailing Address
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Address Line | 4 THATCHER LN
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City | WAREHAM
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State | MA
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Zip | 02571-1070
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Country | US
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Telephone | 508-291-2800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, GOVERNMENT AFFAIRS
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Name | MR. JOE LUMPKIN
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Credential |
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Telephone | 904-380-4512
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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 | WD392
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License Number State | MA
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