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General NPI Number Information
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NPI Number | 1235582081
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL BENEFITS, LLC
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 1661 INTERNATIONAL DR STE. 400
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City | MEMPHIS
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State | TN
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Zip | 38120-1927
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Country | US
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Telephone | 901-818-3038
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 INTERNATIONAL DR. STE. 400
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City | MEMPHIS
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State | TN
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Zip | 38120
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Country | US
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Telephone | 901-818-3038
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. ETHEL MARIE GROSSFIELD
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Credential |
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Telephone | 305-389-1084
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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 | 332B0000X
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License Number State | TN
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