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General NPI Number Information
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NPI Number | 1629009279
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 8001 FLINT ST
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City | LENEXA
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State | KS
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Zip | 66214-3335
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Country | US
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Telephone | 913-894-4400
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Fax | 913-894-4405
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Provider Business Mailing Address
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Address Line | 8001 FLINT ST
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City | LENEXA
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State | KS
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Zip | 66214-3335
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Country | US
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Telephone | 913-894-4400
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Fax | 913-894-4405
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELISSA FISHER
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Credential | P.T.
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Telephone | 913-894-4400
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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 |
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License Number State |
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