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General NPI Number Information
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NPI Number | 1578620530
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Entity Type | Organization
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Legal Business Name | QUAL-MED SERV, INC.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 2781 WESTBELT DR STE C
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City | COLUMBUS
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State | OH
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Zip | 43228-3890
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Country | US
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Telephone | 740-201-0011
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Fax | 740-201-0099
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Provider Business Mailing Address
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Address Line | 2781 WESTBELT DR STE C
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City | COLUMBUS
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State | OH
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Zip | 43228-3890
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Country | US
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Telephone | 740-201-0011
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Fax | 740-201-0099
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL CLARK
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Credential |
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Telephone | 740-201-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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