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General NPI Number Information
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NPI Number | 1679841175
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Entity Type | Organization
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Legal Business Name | AFFORDABLE INCONTINENCE
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 205 TUSCARORA LN
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City | LAKE WINNEBAGO
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State | MO
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Zip | 64034-9324
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Country | US
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Telephone | 816-366-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 205 TUSCARORA LN
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City | LAKE WINNEBAGO
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State | MO
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Zip | 64034-9324
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Country | US
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Telephone | 816-366-0050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. NATASHA C. BELCHER
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Credential |
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Telephone | 816-366-0050
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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 | 20915411
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License Number State | MO
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