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General NPI Number Information
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NPI Number | 1336431345
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Entity Type | Organization
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Legal Business Name | A2Z DME SPECIALISTS, INC.
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 4010 DUPONT CIR STE L11
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City | LOUISVILLE
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State | KY
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Zip | 40207-4825
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Country | US
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Telephone | 502-384-2293
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Fax | 502-384-2296
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Provider Business Mailing Address
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Address Line | 4010 DUPONT CIR STE L11
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City | LOUISVILLE
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State | KY
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Zip | 40207-4825
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Country | US
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Telephone | 502-384-2293
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Fax | 502-384-2296
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JERRY EARL SURBAUGH
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Credential |
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Telephone | 502-384-2293
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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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