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General NPI Number Information
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NPI Number | 1780649061
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Entity Type | Organization
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Legal Business Name | MEDICAL NECESSITIES OF CABOT, INC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1212 SOUTH 2ND
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City | CABOT
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State | AR
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Zip | 72023
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Country | US
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Telephone | 501-941-5401
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Fax | 501-605-0178
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Provider Business Mailing Address
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Address Line | 1212 SOUTH 2ND
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City | CABOT
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State | AR
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Zip | 72023
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Country | US
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Telephone | 501-941-5401
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Fax | 501-605-0178
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIMBERLY WOOSLEY
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Credential |
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Telephone | 501-941-5401
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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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