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General NPI Number Information
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NPI Number | 1528358686
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Entity Type | Organization
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Legal Business Name | GLOBAL ONE
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 1319 24TH AVE NUMBER D
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City | GULFPORT
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State | MS
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Zip | 39501-2062
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Country | US
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Telephone | 228-234-9298
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 24TH AVE NUMBER D
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City | GULFPORT
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State | MS
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Zip | 39501
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Country | US
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Telephone | 228-234-9298
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. CHRISTOPHER MARK RAYMER
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Credential |
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Telephone | 228-234-9298
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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 |
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