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General NPI Number Information
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NPI Number | 1306440763
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Entity Type | Organization
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Legal Business Name | SOUTH MED DME LLC
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 724 LITTLE FARMS AVE
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City | METAIRIE
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State | LA
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Zip | 70003-5912
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Country | US
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Telephone | 504-512-2281
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 STRASSNER DR UNIT 3410
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City | BRENTWOOD
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State | MO
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Zip | 63144-1888
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Country | US
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Telephone | 504-512-2281
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HASNAIN AIJAZ
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Credential |
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Telephone | 314-800-8469
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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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