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General NPI Number Information
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NPI Number | 1427186709
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS HOME MEDICAL SUPPLY
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 10404 W COGGINS DR SUITE 104
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City | SUN CITY
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State | AZ
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Zip | 85351-3437
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Country | US
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Telephone | 623-848-0370
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Fax | 623-845-5542
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Provider Business Mailing Address
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Address Line | 10404 W COGGINS DR SUITE 103 &104
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City | SUN CITY
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State | AZ
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Zip | 85351-3400
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Country | US
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Telephone | 623-848-0370
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Fax | 623-845-5542
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. GINNY RENEA POTTER
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Credential |
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Telephone | 623-848-0370
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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 | 20069552
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License Number State | AZ
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