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General NPI Number Information
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NPI Number | 1821044223
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 E FRANCIS ST SUITE 6
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6796
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Country | US
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Telephone | 308-534-1873
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Fax | 308-534-1866
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Provider Business Mailing Address
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Address Line | PO BOX 1596
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City | NORTH PLATTE
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State | NE
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Zip | 69103-1596
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Country | US
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Telephone | 308-534-1873
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Fax | 308-534-1866
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | EDWARD C ERICKSON
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Credential |
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Telephone | 308-534-1873
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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 | 131
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License Number State | NE
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