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General NPI Number Information
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NPI Number | 1194267252
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Entity Type | Organization
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Legal Business Name | MEDIG MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 4410 W NEWBERRY RD SUITE A2
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City | GAINESVILLE
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State | FL
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Zip | 32607-5200
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Country | US
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Telephone | 352-374-2818
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Fax | 352-381-7300
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Provider Business Mailing Address
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Address Line | 4410 W NEWBERRY RD SUITE A2
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City | GAINESVILLE
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State | FL
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Zip | 32607-5200
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Country | US
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Telephone | 352-374-2818
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Fax | 352-381-7300
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADRIAN P LEWIS
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Credential | M.D.
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Telephone | 352-374-2818
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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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