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General NPI Number Information
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NPI Number | 1356671242
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Entity Type | Organization
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Legal Business Name | MEDICAL SUPPLIES UNLIMITED INC
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 853 WILSON DR
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City | RIDGELAND
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State | MS
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Zip | 39157-4506
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Country | US
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Telephone | 601-540-4910
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Fax | 601-605-4908
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Provider Business Mailing Address
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Address Line | 122 DEVLIN DR
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City | MADISON
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State | MS
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Zip | 39110-6558
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Country | US
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Telephone | 601-540-4910
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Fax | 601-605-4908
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. JOHN D POWELL
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Credential |
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Telephone | 601-540-4910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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