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General NPI Number Information
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NPI Number | 1568667608
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Entity Type | Organization
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Legal Business Name | FAMILY ENTERPRISES INC
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | HWY 53 AND BROADWAY
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City | POPLAR BLUFF
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State | MO
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Zip | 63902
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Country | US
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Telephone | 573-686-1919
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Fax | 573-686-8450
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Provider Business Mailing Address
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Address Line | PO BOX 1187
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City | POPLAR BLUFF
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State | MO
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Zip | 63902-1187
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Country | US
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Telephone | 573-686-1919
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Fax | 573-686-8450
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID WENDEL
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Credential | RPH
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Telephone | 573-686-1919
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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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