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General NPI Number Information
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NPI Number | 1508048729
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Entity Type | Organization
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Legal Business Name | WIGS WE CARE
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 850 N MADISON AVE
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City | GREENWOOD
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State | IN
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Zip | 46142-4127
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Country | US
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Telephone | 317-889-1635
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Fax | 317-887-1820
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Provider Business Mailing Address
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Address Line | PO BOX 923
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City | GREENWOOD
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State | IN
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Zip | 46142-0088
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Country | US
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Telephone | 317-889-1635
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Fax | 317-887-1820
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Authorized Official
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Title or Position | OWNER
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Name | JONNA M BARNETT
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Credential | CFM
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Telephone | 317-889-1635
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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 | CFM00607
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License Number State | IN
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