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General NPI Number Information
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NPI Number | 1841382363
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Entity Type | Organization
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Legal Business Name | MP TOTALCARE MEDICAL, INC.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 3505 KOGER BLVD. SUITE 220
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City | DULUTH
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State | GA
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Zip | 30096-7671
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Country | US
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Telephone | 770-407-4430
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Fax | 866-387-8451
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Provider Business Mailing Address
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Address Line | 1505 LBJ FREEWAY SUITE 600
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-6074
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Country | US
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Telephone | 972-628-2100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/SECRETARY
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Name | MS. MONICA S RAINES
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Credential |
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Telephone | 972-628-2100
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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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