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General NPI Number Information
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NPI Number | 1316113517
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Entity Type | Organization
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Legal Business Name | LEGEND MEDICAL EXPRESS
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 3651 LINDELL RD STE D
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City | LAS VEGAS
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State | NV
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Zip | 89103-1200
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Country | US
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Telephone | 978-846-7229
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Fax | 978-827-4941
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Provider Business Mailing Address
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Address Line | 3651 LINDELL RD STE D
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City | LAS VEGAS
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State | NV
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Zip | 89103-1200
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Country | US
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Telephone | 562-441-9740
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JOANNE M KENNEY
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Credential |
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Telephone | 978-846-7229
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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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