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General NPI Number Information
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NPI Number | 1669168597
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Entity Type | Organization
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Legal Business Name | RJ MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 941 LEHMAN AVE STE 102
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City | BOWLING GREEN
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State | KY
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Zip | 42101-4929
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Country | US
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Telephone | 270-599-1600
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Fax | 270-599-1601
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Provider Business Mailing Address
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Address Line | 941 LEHMAN AVE STE 102
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City | BOWLING GREEN
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State | KY
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Zip | 42101-4929
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Country | US
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Telephone | 270-599-1600
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Fax | 270-599-1601
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Authorized Official
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Title or Position | MANAGER
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Name | EHIS MURPHY
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Credential |
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Telephone | 270-599-1600
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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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