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General NPI Number Information
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NPI Number | 1528098449
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Entity Type | Organization
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Legal Business Name | DME HOLDINGS, LLC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 1151 STRATFORD AVE
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City | STRATFORD
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State | CT
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Zip | 06615-6312
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Country | US
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Telephone | 203-377-1144
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Fax | 866-381-6072
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Provider Business Mailing Address
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Address Line | 1151 STRATFORD AVE
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City | STRATFORD
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State | CT
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Zip | 06615-6312
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Country | US
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Telephone | 203-377-1144
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Fax | 866-381-6072
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM FLETCHER
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Credential |
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Telephone | 203-377-1144
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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 | 9308768-000
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License Number State | CT
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