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General NPI Number Information
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NPI Number | 1811172463
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Entity Type | Organization
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Legal Business Name | BODY PARTS LLC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 722 LOUISIANA AVE
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City | BOGALUSA
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State | LA
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Zip | 70427-3329
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Country | US
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Telephone | 985-730-4357
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Fax | 985-730-5267
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Provider Business Mailing Address
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Address Line | 722 LOUISIANA AVE
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City | BOGALUSA
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State | LA
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Zip | 70427-3329
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Country | US
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Telephone | 985-730-4357
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Fax | 985-730-5267
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Authorized Official
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Title or Position | CEO
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Name | MR. KEVIN SCOTT CAMPBELL SR.
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Credential |
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Telephone | 985-730-4357
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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