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General NPI Number Information
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NPI Number | 1356131338
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Entity Type | Organization
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Legal Business Name | LOLLY & POPS MEDICAL SUPPLY AND RENTAL LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 6705 W I-30 FRONTAGE RD UNIT B
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City | ROYSE CITY
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State | TX
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Zip | 75189
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Country | US
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Telephone | 903-454-2096
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Fax |
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Provider Business Mailing Address
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Address Line | 6705 W I-30 FRONTAGE RD UNIT B
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City | ROYSE CITY
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State | TX
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Zip | 75189
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANTOINETTE GREENLEE
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Credential |
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Telephone | 505-350-1300
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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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