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General NPI Number Information
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NPI Number | 1689010209
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Entity Type | Organization
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Legal Business Name | PAR MEDICAL INC
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 156 APPLE AVENUE.
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City | RICHTON
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State | MS
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Zip | 39476
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Country | US
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Telephone | 601-788-2880
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Fax | 601-788-2880
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Provider Business Mailing Address
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Address Line | 12 B SUSSEX ST
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City | KENNER
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State | LA
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Zip | 70062
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Country | US
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Telephone | 504-464-0677
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Fax | 504-464-0677
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HERBERT OLIVER KITTRELL
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Credential |
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Telephone | 504-455-3853
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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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