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General NPI Number Information
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NPI Number | 1275075855
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Entity Type | Organization
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Legal Business Name | A2Z HOME MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 333 TEXAS ST STE 1300
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City | SHREVEPORT
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State | LA
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Zip | 71101-3666
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Country | US
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Telephone | 910-667-1039
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Fax |
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Provider Business Mailing Address
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Address Line | 333 TEXAS ST STE 1300
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City | SHREVEPORT
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State | LA
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Zip | 71101-3666
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. CATHERINE SODEN
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Credential |
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Telephone | 910-667-1039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 10745282#QKH62
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 10745282#QKH62
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 10745282#QKH62
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License Number State | LA
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