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General NPI Number Information
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NPI Number | 1356488803
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Entity Type | Organization
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Legal Business Name | MED LINK AMERICA, INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 2318 E PASS RD STE F
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City | GULFPORT
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State | MS
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Zip | 39507-3805
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Country | US
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Telephone | 800-669-0456
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Fax | 800-659-8283
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Provider Business Mailing Address
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Address Line | PO BOX 58079
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City | NEW ORLEANS
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State | LA
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Zip | 70158-8079
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Country | US
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Telephone | 504-832-4959
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Fax | 800-659-8283
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MR. GEORGE H. MASSEY JR.
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Credential |
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Telephone | 504-832-4959
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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 | 3403-IR
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 3403-IR
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License Number State | LA
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