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General NPI Number Information
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NPI Number | 1841473386
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Entity Type | Organization
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Legal Business Name | DAVID TERRY ENTERPRISES, LLC.
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 1618 CANTEBURY LN
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City | LEBANON
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State | OH
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Zip | 45036-8678
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Country | US
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Telephone | 513-267-3620
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Fax | 866-485-9224
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Provider Business Mailing Address
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Address Line | 1618 CANTEBURY LN
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City | LEBANON
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State | OH
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Zip | 45036-8678
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Country | US
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Telephone | 513-267-3620
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Fax | 866-485-9224
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID ALAN TERRY
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Credential | D.C.
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Telephone | 513-267-3620
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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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