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General NPI Number Information
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NPI Number | 1386725828
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Entity Type | Organization
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Legal Business Name | ON-CALL MEDICAL SUPPLIES, LLC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 10/15/2009
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Provider Practice Location Address
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Address Line | 5889 S WILLIAMSON BLVD STE 1305
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City | PORT ORANGE
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State | FL
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Zip | 32128-6109
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Country | US
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Telephone | 386-322-9111
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Fax | 386-322-0991
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Provider Business Mailing Address
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Address Line | 5889 S WILLIAMSON BLVD STE 1305
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City | PORT ORANGE
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State | FL
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Zip | 32128-6109
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Country | US
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Telephone | 386-322-9111
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Fax | 386-322-0991
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | JOHN E EVANS
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Credential | APR, CPRC
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Telephone | 386-322-9111
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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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