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General NPI Number Information
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NPI Number | 1598711095
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Entity Type | Organization
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Legal Business Name | SUN MEDICAL LTD.
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 1807 MURRY RD SW SUITE A
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City | ROANOKE
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State | VA
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Zip | 24018-1514
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Country | US
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Telephone | 540-389-3800
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Fax | 540-389-8030
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Provider Business Mailing Address
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Address Line | 1807 MURRY RD SW SUITE A
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City | ROANOKE
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State | VA
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Zip | 24018-1514
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Country | US
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Telephone | 540-389-3800
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Fax | 540-389-8030
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JAMES RICHARD CRANWELL
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Credential |
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Telephone | 540-389-3800
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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 | 0206009236
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License Number State | VA
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