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General NPI Number Information
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NPI Number | 1295766244
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Entity Type | Organization
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Legal Business Name | MSB, INC.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 707 NORTH FWY SUITE 114
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City | FT WORTH
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State | TX
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Zip | 76102-1702
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Country | US
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Telephone | 817-335-5810
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Fax | 817-335-5920
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Provider Business Mailing Address
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Address Line | 707 NORTH FWY SUITE 114
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City | FT WORTH
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State | TX
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Zip | 76102-1702
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Country | US
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Telephone | 817-335-5810
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Fax | 817-335-5920
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MRS. SHERRY GODFREY
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Credential | R.N.
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Telephone | 817-335-5810
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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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