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NPI 1245396779

NPI 1245396779 : T &T INC : MONTICELLO, KY

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General NPI Number Information
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    NPI Number           |    1245396779
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    Entity Type          |    Organization 
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    Legal Business Name  |    T &T INC 
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Dates
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    Enumeration Date     |    12/29/2006
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    Last Update Date     |    05/08/2008
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Provider Practice Location Address
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    Address Line         |    1293 N MAIN ST SUITE 142
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    City                 |    MONTICELLO
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    State                |    KY
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    Zip                  |    42633-1945
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    Country              |    US
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    Telephone            |    606-348-8948
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    Fax                  |    606-340-0738
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Provider Business Mailing Address
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    Address Line         |    PO BOX 609 
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    City                 |    MONTICELLO
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    State                |    KY
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    Zip                  |    42633-0609
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    Country              |    US
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    Telephone            |    606-348-8948
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    Fax                  |    606-340-0738
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. CARTER WAYNE TUCKER 
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    Credential           |    B.A.
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    Telephone            |    606-348-8948
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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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Taxonomy #2
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    332BN1400X
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    Taxonomy Name        |    Nursing Facility Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    
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