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General NPI Number Information
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NPI Number | 1467851113
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Entity Type | Organization
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Legal Business Name | M.E.D.S INC
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 1221 TECHNOLOGY DR SUITE D
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-3404
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Country | US
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Telephone | 704-236-9895
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 TECHNOLOGY DR SUITE D
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-3404
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Country | US
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Telephone | 704-236-9895
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACQUETTE GINYARD
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Credential |
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Telephone | 704-236-9895
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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 | 02200
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License Number State | NC
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