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General NPI Number Information
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NPI Number | 1639417785
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Entity Type | Organization
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Legal Business Name | PATIENT CARE MEDICAL DEVICES LLC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 4901 HENICAN PL
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City | METAIRIE
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State | LA
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Zip | 70003-1115
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Country | US
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Telephone | 504-722-4734
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Fax | 504-456-7111
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Provider Business Mailing Address
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Address Line | 4901 HENICAN PL
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City | METAIRIE
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State | LA
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Zip | 70003-1115
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Country | US
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Telephone | 504-722-4734
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Fax | 504-456-7111
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Authorized Official
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Title or Position | DIRECTOR, MANAGING PARTNER
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Name | NEAL D HATTIER
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Credential |
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Telephone | 504-722-4734
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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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