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General NPI Number Information
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NPI Number | 1679585582
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Entity Type | Organization
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Legal Business Name | L&T MEDICAL SUPPLY
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 6704 W CHEYENNE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89108-4588
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Country | US
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Telephone | 702-658-8028
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Fax | 702-656-7394
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Provider Business Mailing Address
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Address Line | 6704 W CHEYENNE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89108-4588
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Country | US
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Telephone | 702-658-8028
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Fax | 702-656-7394
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORENCE OMOWUNMI ALAGA
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Credential |
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Telephone | 702-658-8028
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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 | H13002342112206
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License Number State | NV
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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 | H13-00234-2-112206
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License Number State | NV
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