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General NPI Number Information
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NPI Number | 1477640928
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Entity Type | Organization
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Legal Business Name | MS MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 312A MARION AVE
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City | MCCOMB
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State | MS
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Zip | 39648-2708
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Country | US
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Telephone | 601-684-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 312A MARION AVE
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City | MCCOMB
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State | MS
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Zip | 39648-2708
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Country | US
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Telephone | 601-684-8070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. LEE JAY ROMERO III
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Credential | RPH.
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Telephone | 601-384-6274
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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 | 02002/11.1
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 02002/11.1
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 02002/11.1
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 02002/11.1
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License Number State | MS
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