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General NPI Number Information
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NPI Number | 1447227376
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Entity Type | Organization
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Legal Business Name | MEDIEQUIP, INC
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 216 FRANK SCOTT PKWY E STE 10
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City | SWANSEA
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State | IL
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Zip | 62226-7612
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Country | US
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Telephone | 618-622-9800
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Fax | 618-206-4404
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Provider Business Mailing Address
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Address Line | 216 FRANK SCOTT PKWY E STE 10
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City | SWANSEA
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State | IL
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Zip | 62226-7612
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Country | US
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Telephone | 618-622-9800
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Fax | 618-206-4404
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONALD D INGERSON
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Credential |
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Telephone | 618-622-9800
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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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