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NPI 1366861247

NPI 1366861247 : STRIVE MEDICAL LLC : VALDOSTA, GA

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General NPI Number Information
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    NPI Number           |    1366861247
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRIVE MEDICAL LLC 
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Dates
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    Enumeration Date     |    04/08/2014
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    Last Update Date     |    10/07/2021
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Provider Practice Location Address
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    Address Line         |    509 N PATTERSON ST STE 206 
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    City                 |    VALDOSTA
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    State                |    GA
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    Zip                  |    31601-4630
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    Country              |    US
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    Telephone            |    888-771-9229
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5800 CAMPUS CIRCLE DR E STE 100B 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75063-2739
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    Country              |    US
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    Telephone            |    972-354-7300
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     JOSH  ROSENTHAL 
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    Credential           |    
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    Telephone            |    972-354-7300
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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       |    1000868
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    License Number State |    TX
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