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General NPI Number Information
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NPI Number | 1851591408
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Entity Type | Organization
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Legal Business Name | MEDITRUST MEDICAL EQUIPMENT & SUPPLY,LLC
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 11/24/2007
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Provider Practice Location Address
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Address Line | 716 E MAIN ST
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City | ADAMSVILLE
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State | TN
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Zip | 38310-2458
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Country | US
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Telephone | 731-632-2166
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Fax | 731-632-2167
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Provider Business Mailing Address
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Address Line | 716 E MAIN ST
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City | ADAMSVILLE
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State | TN
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Zip | 38310-2458
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Country | US
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Telephone | 731-632-2166
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Fax | 731-632-2167
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICK ALLEN MURPHY
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Credential |
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Telephone | 731-632-2166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 929
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License Number State | TN
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