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General NPI Number Information
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NPI Number | 1821913195
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Entity Type | Organization
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Legal Business Name | MONTICELLO DME CARE SUPPLIES LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 506 MONTESIAN CT
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City | MONTICELLO
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State | WI
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Zip | 53570-9412
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Country | US
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Telephone | 713-912-0654
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Fax | 608-707-0009
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Provider Business Mailing Address
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Address Line | 506 MONTESIAN CT
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City | MONTICELLO
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State | WI
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Zip | 53570-9412
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Country | US
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Telephone | 713-912-0654
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Fax | 608-707-0009
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Authorized Official
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Title or Position | OWNER
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Name | MR. KHALID MAHMOOD
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Credential |
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Telephone | 713-912-0654
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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 |
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License Number State |
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