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General NPI Number Information
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NPI Number | 1205824034
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Entity Type | Organization
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Legal Business Name | ATLANTIC MEDICAL SUPPLIES
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8550 SPRING VALLEY RD #220
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City | DALLAS
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State | TX
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Zip | 75240-4160
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Country | US
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Telephone | 972-792-7340
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Fax | 972-792-7337
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Provider Business Mailing Address
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Address Line | 8550 SPRING VALLEY RD #220
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City | DALLAS
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State | TX
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Zip | 75240-4160
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Country | US
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Telephone | 972-792-7340
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Fax | 972-792-7337
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | CHRISTOPHER O MATTHEW
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Credential |
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Telephone | 972-792-7340
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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 | 4644700001
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License Number State | SC
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