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NPI 1528025087

NPI 1528025087 : HOWELL'S MEDICAL EQUIPMENT & SUPPLY : MILLEDGEVILLE, GA

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General NPI Number Information
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    NPI Number           |    1528025087
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOWELL'S MEDICAL EQUIPMENT & SUPPLY 
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Dates
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    Enumeration Date     |    04/27/2006
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    Last Update Date     |    12/21/2009
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Provider Practice Location Address
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    Address Line         |    630 MERIWETHER RD NW SUITE A
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    City                 |    MILLEDGEVILLE
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    State                |    GA
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    Zip                  |    31061-9839
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    Country              |    US
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    Telephone            |    478-414-1120
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    630 MERIWETHER RD NW SUITE A
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    City                 |    MILLEDGEVILLE
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    State                |    GA
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    Zip                  |    31061-9839
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    Country              |    US
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    Telephone            |    478-414-1120
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. QUENTIN T HOWELL 
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    Credential           |    CFO
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    Telephone            |    478-414-1120
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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       |    
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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