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NPI 1639277106

NPI 1639277106 : VALLEY MEDICAL EQUIPMENT, INC. : NITRO, WV

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General NPI Number Information
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    NPI Number           |    1639277106
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    Entity Type          |    Organization 
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    Legal Business Name  |    VALLEY MEDICAL EQUIPMENT, INC. 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    04/01/2024
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Provider Practice Location Address
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    Address Line         |    207 MAIN AVE 
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    City                 |    NITRO
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    State                |    WV
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    Zip                  |    25143-2026
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    Country              |    US
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    Telephone            |    304-755-2378
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    Fax                  |    304-755-0202
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Provider Business Mailing Address
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    Address Line         |    PO BOX 27968 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84127-0968
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    Country              |    US
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    Telephone            |    304-755-2378
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    Fax                  |    304-755-0202
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    MRS. ROBIN L MENCHEN 
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    Credential           |    
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    Telephone            |    407-822-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BP3500X
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    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    975566/
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    License Number State |    WV
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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       |    
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    License Number State |    
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