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General NPI Number Information
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NPI Number | 1760425011
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Entity Type | Organization
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Legal Business Name | M&O ENTERPRISES LLC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 2701 4TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2707
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Country | US
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Telephone | 205-251-8676
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Fax | 205-251-8677
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Provider Business Mailing Address
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Address Line | 2701 4TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2707
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Country | US
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Telephone | 205-251-8676
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Fax | 205-251-8677
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEB F MITCHELL
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Credential | PHARM.D.
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Telephone | 205-251-8676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 112191
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License Number State | AL
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