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General NPI Number Information
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NPI Number | 1841725314
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Entity Type | Organization
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Legal Business Name | MEDIHEALTH MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 04/21/2017
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 214 MAIN ST N
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City | AMORY
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State | MS
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Zip | 38821-3417
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Country | US
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Telephone | 662-597-2356
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Fax | 662-597-2371
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Provider Business Mailing Address
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Address Line | PO BOX 1005
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City | AMORY
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State | MS
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Zip | 38821-9705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BRIAN TISDALE
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Credential |
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Telephone | 662-597-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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