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NPI 1730680307

NPI 1730680307 : MAX MEDICAL EQUIPMENT, INC. : LOUISA, KY

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General NPI Number Information
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    NPI Number           |    1730680307
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAX MEDICAL EQUIPMENT, INC. 
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Dates
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    Enumeration Date     |    02/28/2018
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    Last Update Date     |    02/28/2018
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Provider Practice Location Address
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    Address Line         |    207 E MADISON ST 
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    City                 |    LOUISA
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    State                |    KY
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    Zip                  |    41230-1402
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    Country              |    US
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    Telephone            |    606-638-4040
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    Fax                  |    606-638-4045
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Provider Business Mailing Address
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    Address Line         |    207 E MADISON ST 
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    City                 |    LOUISA
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    State                |    KY
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    Zip                  |    41230-1402
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    Country              |    US
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    Telephone            |    606-638-4040
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    Fax                  |    606-638-4045
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHERYL  WILHITE 
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    Credential           |    
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    Telephone            |    606-638-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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