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General NPI Number Information
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NPI Number | 1235696543
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Entity Type | Organization
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Legal Business Name | MEDIC RENTAL INC
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 3533 N SHILOH DR STE 4
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5317
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Country | US
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Telephone | 479-249-6381
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Fax | 479-439-4098
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Provider Business Mailing Address
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Address Line | 2821 KAVANAUGH BLVD STE 3A
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3868
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Country | US
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Telephone | 501-664-6768
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Fax | 501-664-0074
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMANDA MCNABB
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Credential |
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Telephone | 501-428-0074
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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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