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General NPI Number Information
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NPI Number | 1356849301
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Entity Type | Organization
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Legal Business Name | LOECO LLC
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 1123 NORTH CASTLE HEIGHTS AVE SUITE L
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City | LEBANON
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State | TN
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Zip | 37087-5725
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Country | US
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Telephone | 615-229-5858
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Fax | 615-470-8204
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Provider Business Mailing Address
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Address Line | PO BOX 892
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9623
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Country | US
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Telephone | 615-229-5858
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Fax | 615-470-8204
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. MARY ELLEN DORAN
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Credential |
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Telephone | 615-229-5858
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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 | TN
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Taxonomy #2
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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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