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General NPI Number Information
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NPI Number | 1538021027
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Entity Type | Organization
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Legal Business Name | XPRESS MEDICAL SUPPLIES
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 619 NE TUDOR RD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5699
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Country | US
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Telephone | 203-020-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 619 NE TUDOR RD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5699
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | XAVIER DIANTE TRIMBLE
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Credential |
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Telephone | 203-032-0302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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