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General NPI Number Information
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NPI Number | 1598676504
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Entity Type | Organization
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Legal Business Name | MY CPAP SHOP LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 7410 HULL STREET RD STE 100
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5834
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Country | US
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Telephone | 804-302-2565
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Fax |
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Provider Business Mailing Address
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Address Line | 14406 PLEASANT GROVE CT
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-6200
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Country | US
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Telephone | 804-302-2565
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Fax | 804-302-2117
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DUSTIN BIVINS
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Credential | RRT
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Telephone | 804-245-0220
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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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