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General NPI Number Information
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NPI Number | 1598858706
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Entity Type | Organization
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Legal Business Name | L & J DURABLE MEDICAL
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 160 ROGERS ST
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City | LEBANON
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State | VA
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Zip | 24266
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Country | US
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Telephone | 276-889-2783
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Fax | 276-889-3971
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Provider Business Mailing Address
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Address Line | PO BOX 493
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City | LEBANON
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State | VA
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Zip | 24266-0493
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Country | US
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Telephone | 276-889-2783
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Fax | 276-889-3971
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JOE F. MAYS
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Credential |
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Telephone | 276-889-2783
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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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