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General NPI Number Information
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NPI Number | 1760253207
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Entity Type | Organization
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Legal Business Name | ACCELERATED DMS LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 939 GREEN ROCK DR
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City | DUNCANVILLE
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State | TX
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Zip | 75137-2918
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Country | US
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Telephone | 469-400-4957
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Fax |
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Provider Business Mailing Address
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Address Line | 939 GREEN ROCK DR
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City | DUNCANVILLE
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State | TX
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Zip | 75137-2918
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Country | US
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Telephone | 469-400-4957
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. HAROLD EDWARD HAINES III
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Credential |
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Telephone | 469-400-4957
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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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