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General NPI Number Information
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NPI Number | 1851667521
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Entity Type | Organization
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Legal Business Name | LEE HEALTHCARE MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 118 B SOUTHPARK DR.
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City | BROWNWOOD
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State | TX
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Zip | 76801
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Country | US
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Telephone | 325-646-7670
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Fax | 325-646-7676
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Provider Business Mailing Address
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Address Line | 118 B SOUTHPARK DR.
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City | BROWNWOOD
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State | TX
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Zip | 76801
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Country | US
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Telephone | 325-646-7670
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Fax | 325-646-7676
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | PAMELA KAYE PARSONS
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Credential |
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Telephone | 325-646-7670
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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 | TX
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | TX
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