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General NPI Number Information
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NPI Number | 1194880526
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Entity Type | Organization
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Legal Business Name | GATHRIGHT-REED MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 300 HERITAGE DR
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City | OXFORD
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State | MS
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Zip | 38655-5463
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Country | US
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Telephone | 662-234-4843
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Fax | 662-234-1314
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Provider Business Mailing Address
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Address Line | PO BOX 1105
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City | OXFORD
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State | MS
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Zip | 38655-1105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID KINCAID
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Credential | RPH
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Telephone | 662-234-4843
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 05225/2.0
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License Number State | MS
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