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General NPI Number Information
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NPI Number | 1245776723
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Entity Type | Organization
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Legal Business Name | DIGNITY MEDICAL DEVICES
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 2522 W 41ST ST SUITE 256
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City | SIOUX FALLS
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State | SD
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Zip | 57105-6120
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Country | US
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Telephone | 888-427-9343
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 W 41ST ST SUITE 256
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City | SIOUX FALLS
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State | SD
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Zip | 57105-6120
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Country | US
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Telephone | 888-427-9343
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGG JOHNSON
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Credential |
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Telephone | 888-427-9343
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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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