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General NPI Number Information
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NPI Number | 1255589289
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Entity Type | Organization
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Legal Business Name | WECARE MEDICAL, LLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 1000 ASHLAND DR
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City | ASHLAND
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State | KY
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Zip | 41101-7084
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Country | US
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Telephone | 606-833-2131
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Fax | 606-833-2130
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Provider Business Mailing Address
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Address Line | PO BOX 554
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City | ASHLAND
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State | KY
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Zip | 41105-0554
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Country | US
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Telephone | 606-325-9222
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Fax | 606-920-9425
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. OLEY JOSEPH BURGESS III
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Credential |
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Telephone | 606-325-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 156463
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License Number State | KY
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