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General NPI Number Information
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NPI Number | 1588816177
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Entity Type | Organization
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Legal Business Name | DMDPRNT LLC
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 300 W I PKWY SUITE 311
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City | DALLAS
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State | GA
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Zip | 30132-5079
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Country | US
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Telephone | 770-505-5730
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Fax | 678-388-9117
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Provider Business Mailing Address
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Address Line | 300 W I PARKWAY SUITE 311
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City | DALLAS
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State | GA
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Zip | 30132
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Country | US
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Telephone | 770-505-5730
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Fax | 678-388-9117
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Authorized Official
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Title or Position | AGENT
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Name | MISS LAUVERN HOLLINGSWORTH
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Credential | LICENSED INSURANCE
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Telephone | 770-505-5730
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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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