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General NPI Number Information
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NPI Number | 1386973956
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Entity Type | Organization
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Legal Business Name | MED SUPPLY PLUS, INC.
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 2003 E SHILOH RD
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City | CORINTH
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State | MS
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Zip | 38834-3726
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Country | US
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Telephone | 662-286-3107
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Fax |
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Provider Business Mailing Address
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Address Line | 2003 E SHILOH RD
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City | CORINTH
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State | MS
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Zip | 38834-3726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATALIE SLEEPER
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Credential | R.PH.
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Telephone | 662-286-3107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 08338/02.5
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License Number State | MS
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