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General NPI Number Information
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NPI Number | 1336447242
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Entity Type | Organization
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Legal Business Name | COMMUNITY CHOICE MEDICAL SUPPLIES
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 1333 CARRSVILLE HIGHWAY
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City | ISLE OF WIGHT COUNTY
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State | VA
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Zip | 23851
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Country | US
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Telephone | 757-449-0464
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Fax | 757-233-9775
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Provider Business Mailing Address
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Address Line | PO BOX 8014
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City | PORTSMOUTH
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State | VA
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Zip | 23707-8014
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Country | US
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Telephone | 757-449-0464
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Fax | 757-233-9775
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. MARGIE S. WORLDS
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Credential | RPSGT
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Telephone | 757-449-0464
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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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