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General NPI Number Information
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NPI Number | 1225272685
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Entity Type | Organization
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Legal Business Name | MUTUAL CONTRACT SERVICES LLC
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 1740 NE RIDDELL RD STE 301
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City | BREMERTON
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State | WA
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Zip | 98310-3681
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Country | US
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Telephone | 360-373-0168
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Fax | 360-373-0311
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Provider Business Mailing Address
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Address Line | 1740 NE RIDDELL RD STE 301
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City | BREMERTON
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State | WA
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Zip | 98310-3681
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Country | US
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Telephone | 360-373-0168
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Fax | 360-373-0311
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES W CARTER SR.
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Credential |
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Telephone | 360-373-0168
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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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