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General NPI Number Information
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NPI Number | 1558398529
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Entity Type | Organization
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Legal Business Name | DQHHA EQUIPMENT & SUPPLY, INC.
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 209 W. DE QUEEN AVENUE
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City | DE QUEEN
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State | AR
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Zip | 71832-2809
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Country | US
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Telephone | 870-642-4555
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Fax | 870-642-8706
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Provider Business Mailing Address
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Address Line | 209 W. DE QUEEN AVENUE
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City | DE QUEEN
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State | AR
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Zip | 71832-2809
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Country | US
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Telephone | 870-642-4555
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Fax | 870-642-8706
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PAULA A. SMITH
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Credential |
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Telephone | 870-642-4214
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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 | MG00142
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License Number State | AR
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