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General NPI Number Information
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NPI Number | 1386627982
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Entity Type | Organization
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Legal Business Name | RESTORATION MEDIAL EQUIPMENT & SUPPLIES
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 18596 LEE HWY
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City | ABINGDON
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State | VA
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Zip | 24210-8004
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Country | US
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Telephone | 276-676-4448
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Fax | 276-676-4449
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Provider Business Mailing Address
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Address Line | PO BOX 2255
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City | ABINGDON
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State | VA
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Zip | 24212-2255
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Country | US
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Telephone | 276-676-4448
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Fax | 276-676-4449
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BUTCH TRITT
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Credential |
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Telephone | 276-676-4448
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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 |
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