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General NPI Number Information
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NPI Number | 1508603028
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Entity Type | Organization
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Legal Business Name | UNIFIED MEDICAL EQUIPMENT SOLUTIONS, JACKSONVILLE
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1400 BRADEN ST STE 3
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City | JACKSONVILLE
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State | AR
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Zip | 72076-3721
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Country | US
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Telephone | 501-453-5650
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Fax | 501-453-6820
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Provider Business Mailing Address
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Address Line | 2805 MID CITIES DR STE 5
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City | BENTONVILLE
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State | AR
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Zip | 72712-4291
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Country | US
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Telephone | 479-364-0043
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Fax | 479-364-0413
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Authorized Official
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Title or Position | REVENUE INTEGRITY COORDINATOR
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Name | ELIZABETH GOWAN
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Credential | BS HA
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Telephone | 479-787-3559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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