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General NPI Number Information
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NPI Number | 1619978137
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Entity Type | Organization
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Legal Business Name | COLUMBIA MEDICAL EQUIPMENT, INC.
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 258 BURKESVILLE RD
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City | ALBANY
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State | KY
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Zip | 42602-1604
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Country | US
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Telephone | 606-387-6994
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Fax | 606-387-2060
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | COLUMBIA
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State | KY
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Zip | 42728-0550
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Country | US
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Telephone | 270-384-5143
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Fax | 270-384-2003
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BARRY FROST
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Credential |
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Telephone | 270-384-5143
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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 | MG0393
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number | MG0393
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | MG0393
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | MG0393
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | MG0393
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | MG0393
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License Number State | KY
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