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General NPI Number Information
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NPI Number | 1336587617
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Entity Type | Organization
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Legal Business Name | MUNTER MEDICAL INC
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 8752 E SHEA BLVD SUITE C7
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6640
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Country | US
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Telephone | 480-659-2854
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Fax | 480-664-0380
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Provider Business Mailing Address
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Address Line | 8752 E SHEA BLVD SUITE 128
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6640
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Country | US
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Telephone | 480-659-2854
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Fax | 480-664-0380
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SCOTT MICHAEL MUNTER
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Credential | CFO
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Telephone | 480-659-2854
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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 | 20999309
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License Number State | AZ
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