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General NPI Number Information
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NPI Number | 1790419257
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND MEDICAL CORPORATION, LLC
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 413 S NORTHSHORE DR STE B413S
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City | KNOXVILLE
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State | TN
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Zip | 37919-7567
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Country | US
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Telephone | 843-609-5733
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Fax | 865-415-2738
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Provider Business Mailing Address
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Address Line | 413 S NORTHSHORE DR STE B
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City | KNOXVILLE
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State | TN
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Zip | 37919-7567
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Country | US
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Telephone | 865-415-2740
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Fax | 865-415-2738
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MR. JAMES MICHAEL LOFTIS SR.
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Credential |
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Telephone | 865-415-2740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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