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General NPI Number Information
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NPI Number | 1508894189
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Entity Type | Organization
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Legal Business Name | PIERCE MEDICAL PRODUCTS, INC
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 8535 SECOR RD
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-9334
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Country | US
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Telephone | 734-854-7864
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Fax | 734-854-2418
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Provider Business Mailing Address
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Address Line | 8535 SECOR RD
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-9334
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Country | US
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Telephone | 734-854-7864
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Fax | 734-854-2418
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Authorized Official
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Title or Position | OWNER
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Name | MS. JEAN A PIERCE
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Credential | RN, BSN
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Telephone | 734-854-7864
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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 | 383209872
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License Number State | MI
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