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General NPI Number Information
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NPI Number | 1659586253
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Entity Type | Organization
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Legal Business Name | FOUR SONS LLC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8301 MAGNOLIA ESTATES DR STE 2
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City | CORNELIUS
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State | NC
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Zip | 28031-8053
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Country | US
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Telephone | 704-655-9545
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Fax | 704-655-9632
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Provider Business Mailing Address
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Address Line | 8301 MAGNOLIA ESTATES DR STE 2
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City | CORNELIUS
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State | NC
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Zip | 28031-8053
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Country | US
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Telephone | 704-655-9545
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Fax | 704-655-9632
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Authorized Official
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Title or Position | BILLING
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Name | NANCI HOERTT
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Credential |
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Telephone | 704-655-9545
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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 | 00976
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License Number State | NC
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