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General NPI Number Information
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NPI Number | 1194817916
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Entity Type | Organization
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Legal Business Name | GLASS SEATING AND MOBILITY
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 1687 N SHELBY OAKS DR SUITE 9
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City | MEMPHIS
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State | TN
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Zip | 38134-7421
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Country | US
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Telephone | 901-379-0096
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Fax | 901-379-0018
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Provider Business Mailing Address
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Address Line | 1687 N SHELBY OAKS DR SUITE 9
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City | MEMPHIS
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State | TN
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Zip | 38134-7421
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Country | US
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Telephone | 901-379-0096
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Fax | 901-379-0018
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TERESA GLASS OWENS
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Credential | ATS, ATP
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Telephone | 901-379-0096
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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 | 0000000805
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 06285/11.1
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 06285/11.1
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0000000805
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License Number State | TN
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