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General NPI Number Information
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NPI Number | 1447881966
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Entity Type | Organization
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Legal Business Name | PATTON DURABLE EQUIPMENT SUPPLIES,LLC.
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 305 CLINTON BLVD
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City | CLINTON
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State | MS
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Zip | 39056-5217
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Country | US
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Telephone | 601-708-5097
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Fax | 601-708-5096
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Provider Business Mailing Address
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Address Line | 305 CLINTON BLVD
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City | CLINTON
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State | MS
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Zip | 39056-5217
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Country | US
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Telephone | 601-708-5097
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Fax | 601-708-5096
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROY C PATTON SR.
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Credential |
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Telephone | 601-708-5097
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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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