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General NPI Number Information
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NPI Number | 1396780607
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Entity Type | Organization
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Legal Business Name | MULTI-MEDICAL INC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2313 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76110-2534
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Country | US
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Telephone | 817-514-9403
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Fax | 817-427-9716
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Provider Business Mailing Address
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Address Line | 2313 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76110-2534
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Country | US
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Telephone | 817-514-9403
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Fax | 817-427-9716
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. DOUGLAS HARTMAN
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Credential |
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Telephone | 817-514-9403
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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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