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General NPI Number Information
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NPI Number | 1760429658
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Entity Type | Organization
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Legal Business Name | SYNCHRONOUS MEDICAL SUPPLY
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2844 TRACELAND DR
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City | TUPELO
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State | MS
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Zip | 38801-4200
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Country | US
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Telephone | 662-690-4046
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Fax | 662-844-6558
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Provider Business Mailing Address
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Address Line | PO BOX 3667
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City | TUPELO
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State | MS
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Zip | 38803-3667
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Country | US
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Telephone | 662-690-4046
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Fax | 662-844-6558
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ROSS GIRARD KUNS II
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Credential |
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Telephone | 662-690-4046
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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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Taxonomy #2
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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 #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 | MS
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