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General NPI Number Information
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NPI Number | 1669768081
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Entity Type | Organization
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Legal Business Name | MR. NEB, LLC
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 5076 WINTERS CHAPEL RD STE 200
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City | ATLANTA
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State | GA
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Zip | 30360-1832
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Country | US
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Telephone | 770-394-5330
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Fax | 770-394-5332
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Provider Business Mailing Address
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Address Line | PO BOX 922189
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City | NORCROSS
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State | GA
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Zip | 30010-2189
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Country | US
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Telephone | 866-449-4784
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Fax | 888-835-3354
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | SUE ELLEN KAY
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Credential |
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Telephone | 888-588-9630
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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 | 0275
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License Number State | GU
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Taxonomy #2
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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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