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General NPI Number Information
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NPI Number | 1578970521
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Entity Type | Organization
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Legal Business Name | METAMORPHOSIS
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 2322 PARKER ROAD SUITE 420
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City | CARROLLTON
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State | TX
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Zip | 75010
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Country | US
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Telephone | 972-467-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 3948 LEGACY DR SUITE 106- PMB 185
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City | PLANO
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State | TX
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Zip | 75023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. ANGELA OLIVER
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Credential |
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Telephone | 972-896-4641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (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 | 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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