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General NPI Number Information
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NPI Number | 1679850598
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Entity Type | Organization
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Legal Business Name | ARRENEL MEDICAL SUPPLIERS, LLC.
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Dates
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Enumeration Date | 11/06/2011
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 333 SWANSON DR SUITE 130
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-8536
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Country | US
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Telephone | 678-735-0028
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Fax | 678-735-0097
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Provider Business Mailing Address
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Address Line | 333 SWANSON DR SUITE 130
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-8536
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Country | US
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Telephone | 678-735-0028
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Fax | 678-735-0097
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MS. RUBY N LAWSON
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Credential |
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Telephone | 678-735-0028
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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 | 19124998
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License Number State | GA
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