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General NPI Number Information
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NPI Number | 1770339558
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Entity Type | Organization
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Legal Business Name | MEDICAP CPAP INC
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 2770 W CHERRY LN
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City | MERIDIAN
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State | ID
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Zip | 83642-1137
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Country | US
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Telephone | 208-805-1070
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Fax | 208-805-1077
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Provider Business Mailing Address
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Address Line | 2790 W CHERRY LN STE 150
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City | MERIDIAN
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State | ID
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Zip | 83642-1106
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Country | US
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Telephone | 208-805-1070
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Fax | 208-805-1077
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEVIN TRONE
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Credential | PHARMD
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Telephone | 208-805-1070
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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