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General NPI Number Information
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NPI Number | 1558735274
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Entity Type | Organization
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Legal Business Name | MEDSERV EQUIPMENT CORP
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 156A LINCOLN SQ
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City | URBANA
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State | IL
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Zip | 61801-3438
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Country | US
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Telephone | 217-355-7971
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Fax | 217-355-8619
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Provider Business Mailing Address
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Address Line | 156A LINCOLN SQ
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City | URBANA
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State | IL
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Zip | 61801-3438
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Country | US
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Telephone | 217-355-7971
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Fax | 217-355-8619
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Authorized Official
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Title or Position | PRESIDENT
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Name | J DAVID BESHOAR
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Credential |
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Telephone | 847-359-4607
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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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