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General NPI Number Information
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NPI Number | 1538152210
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Entity Type | Organization
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Legal Business Name | LIVEASY MEDICAL EQUIPMENT INC.
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 801 N SCOTT
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City | BELTON
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State | MO
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Zip | 64012-1736
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Country | US
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Telephone | 816-318-9950
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Fax | 816-318-9958
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Provider Business Mailing Address
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Address Line | 801 N SCOTT AVE
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City | BELTON
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State | MO
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Zip | 64012-1736
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Country | US
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Telephone | 816-318-9950
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Fax | 816-318-9958
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROY M WINFREY JR.
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Credential |
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Telephone | 816-318-9950
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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 | 18085407
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License Number State | MO
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