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General NPI Number Information
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NPI Number | 1497754675
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Entity Type | Organization
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Legal Business Name | MEDICAL LIQUIDATORS, INC.
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6344 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-3401
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Country | US
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Telephone | 727-853-1622
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1363
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-1363
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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 | PRESIDENT
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Name | THOMAS GARNER BUNDY
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Credential |
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Telephone | 727-853-1622
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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 | 332B00000X
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License Number State | FL
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