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General NPI Number Information
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NPI Number | 1497863153
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Entity Type | Organization
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Legal Business Name | DODSON HOME CARE, INC.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 1101 5TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-5346
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Country | US
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Telephone | 601-693-9551
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Fax | 601-693-9533
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Provider Business Mailing Address
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Address Line | P.O. BOX 1291
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City | MERIDIAN
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State | MS
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Zip | 39302
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Country | US
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Telephone | 601-693-9551
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Fax | 601-693-9533
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. J LLOYD DODSON
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Credential |
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Telephone | 601-693-9551
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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 | 02835
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License Number State | MS
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