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General NPI Number Information
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NPI Number | 1568775542
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Entity Type | Organization
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Legal Business Name | BZB, LLC
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 13 POWER LN
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City | HATTIESBURG
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State | MS
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Zip | 39402-8563
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Country | US
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Telephone | 601-450-5320
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Fax | 601-450-5321
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Provider Business Mailing Address
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Address Line | 13 POWER LN
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City | HATTIESBURG
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State | MS
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Zip | 39402-8563
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Country | US
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Telephone | 601-450-5320
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Fax | 601-450-5321
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Authorized Official
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Title or Position | PRESIDENT/CEM
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Name | MS. JOY BETH HARDEN
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Credential |
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Telephone | 601-450-5320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 08573/11.1
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License Number State | MS
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