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NPI 1457538100

NPI 1457538100 : DME UNITED, INC. : BELLEVUE, NE

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General NPI Number Information
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    NPI Number           |    1457538100
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    Entity Type          |    Organization 
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    Legal Business Name  |    DME UNITED, INC. 
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Dates
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    Enumeration Date     |    01/24/2008
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    Last Update Date     |    12/17/2021
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Provider Practice Location Address
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    Address Line         |    2221 MAIN ST 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68005-5239
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    Country              |    US
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    Telephone            |    402-898-2675
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    Fax                  |    402-898-2679
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Provider Business Mailing Address
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    Address Line         |    2221 MAIN ST 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68005-5239
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    Country              |    US
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    Telephone            |    402-898-2675
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    Fax                  |    402-898-2679
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. PATRICK M SHANNON 
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    Credential           |    CHBME
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    Telephone            |    402-898-2675
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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       |    255258
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    255258
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    License Number State |    NV
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