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NPI 1699301093

NPI 1699301093 : PRIORITYONE EMS AND MEDICAL SUPPLY, LLC : LOWELL, MA

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General NPI Number Information
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    NPI Number           |    1699301093
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRIORITYONE EMS AND MEDICAL SUPPLY, LLC 
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Dates
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    Enumeration Date     |    03/17/2020
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    Last Update Date     |    06/12/2020
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Provider Practice Location Address
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    Address Line         |    246 CRAWFORD ST 
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    City                 |    LOWELL
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    State                |    MA
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    Zip                  |    01854-1634
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    Country              |    US
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    Telephone            |    978-230-9668
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    Fax                  |    866-253-8848
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Provider Business Mailing Address
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    Address Line         |    PO BOX 182 
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    City                 |    LOWELL
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    State                |    MA
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    Zip                  |    01853-0182
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    Country              |    US
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    Telephone            |    978-230-9668
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    Fax                  |    866-253-8848
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ANTHONY CLAUDE PERKINS 
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    Credential           |    EMT
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    Telephone            |    978-230-9668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BN1400X
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    Taxonomy Name        |    Nursing Facility Supplies (DME)
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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