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General NPI Number Information
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NPI Number | 1407041130
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Entity Type | Organization
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Legal Business Name | QUALITY SUPPLY LLC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 1126 TRIPLETT ST SUITE #103
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City | OWENSBORO
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State | KY
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Zip | 42303-3155
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Country | US
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Telephone | 270-852-4343
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Fax | 270-852-4344
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Provider Business Mailing Address
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Address Line | 1126 TRIPLETT ST SUITE #103
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City | OWENSBORO
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State | KY
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Zip | 42303-3155
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Country | US
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Telephone | 270-852-4343
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Fax | 270-852-4344
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Authorized Official
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Title or Position | DME CLINICAL COORDINATOR
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Name | MR. JAMES C WARREN
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Credential | RRT
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Telephone | 270-929-3281
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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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