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General NPI Number Information
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NPI Number | 1821283185
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Entity Type | Organization
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Legal Business Name | MEDICAL MECHANICS, INC.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 4777 LENOX AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32205-4977
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Country | US
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Telephone | 904-388-4777
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Fax | 904-388-4333
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Provider Business Mailing Address
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Address Line | 4777 LENOX AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32205-4977
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Country | US
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Telephone | 904-388-4777
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Fax | 904-388-4333
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SUMMER LACE TERRELL
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Credential |
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Telephone | 904-388-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 26-8013896529-9
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License Number State | FL
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