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General NPI Number Information
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NPI Number | 1457594186
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Entity Type | Organization
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Legal Business Name | TWMEDICAL LLC
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 04/10/2009
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Provider Practice Location Address
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Address Line | 4629 ANDERSON ST
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City | SHAWNEE
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State | KS
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Zip | 66226-2469
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Country | US
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Telephone | 913-908-6857
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Fax |
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Provider Business Mailing Address
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Address Line | 4629 ANDERSON ST
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City | SHAWNEE
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State | KS
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Zip | 66226-2469
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Country | US
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Telephone | 913-908-6857
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TOM WIGGINTON
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Credential |
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Telephone | 913-908-6857
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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 | 5-02336
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License Number State | KS
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