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General NPI Number Information
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NPI Number | 1699092940
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Entity Type | Organization
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Legal Business Name | VERSA BATH SEATS, LLC
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 3477 CREEK CIR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-2745
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Country | US
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Telephone | 256-571-9990
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Fax | 256-571-7539
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Provider Business Mailing Address
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Address Line | 3477 CREEK CIR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-2745
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Country | US
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Telephone | 256-571-9990
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Fax | 256-571-7539
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. WILLIAM INGRAM
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Credential |
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Telephone | 256-571-9990
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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 | 2412
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License Number State | AL
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