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General NPI Number Information
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NPI Number | 1457588527
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Entity Type | Organization
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Legal Business Name | MORNING STAR ENTERPRISES
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 2059 SHETLAND CV
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City | CORDOVA
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State | TN
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Zip | 38016-5194
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Country | US
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Telephone | 901-210-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 2059 SHETLAND CV
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City | CORDOVA
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State | TN
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Zip | 38016-5194
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. KAREN FREEMAN
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Credential |
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Telephone | 901-210-8877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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