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General NPI Number Information
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NPI Number | 1366442519
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH APPAREL LTD
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 07/04/2014
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Provider Practice Location Address
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Address Line | 12 N ELM ST
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City | WEST CARROLLTON
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State | OH
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Zip | 45449-1402
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Country | US
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Telephone | 937-859-6020
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Fax | 937-859-9942
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Provider Business Mailing Address
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Address Line | 12 N ELM ST
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City | WEST CARROLLTON
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State | OH
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Zip | 45449-1402
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Country | US
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Telephone | 937-859-6020
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Fax | 937-859-9942
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. JEANETTE MCDANIEL
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Credential |
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Telephone | 937-859-6020
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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 | 57178625
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License Number State | OH
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