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General NPI Number Information
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NPI Number | 1235343872
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Entity Type | Organization
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Legal Business Name | FROST EQUIPMENT & SUPPLIES INC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 7505 PINES ROAD SUITE 1255
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City | SHREVEPORT
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State | LA
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Zip | 71129-3923
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Country | US
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Telephone | 318-687-9929
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Fax | 318-687-9469
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Provider Business Mailing Address
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Address Line | 7505 PINES ROAD SUITE 1255
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City | SHREVEPORT
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State | LA
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Zip | 71129-3923
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Country | US
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Telephone | 318-687-9929
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Fax | 318-687-9469
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Authorized Official
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Title or Position | CEO
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Name | JESSICA JAMISON
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Credential |
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Telephone | 318-687-9929
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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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