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General NPI Number Information
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NPI Number | 1730485228
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Entity Type | Organization
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Legal Business Name | HEARTLAND MEDICAL DISTRIBUTION, LLLP
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 1108 HOWELL ST S
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City | SAINT PAUL
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State | MN
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Zip | 55116-2526
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Country | US
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Telephone | 612-284-3444
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Fax | 952-392-9924
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Provider Business Mailing Address
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Address Line | 1108 HOWELL ST S
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City | SAINT PAUL
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State | MN
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Zip | 55116-2526
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Country | US
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Telephone | 612-284-3444
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Fax | 952-392-9924
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DUANE K KUNZ
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Credential |
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Telephone | 612-284-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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