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General NPI Number Information
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NPI Number | 1861608069
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Entity Type | Organization
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Legal Business Name | NATIONAL MEDICAL SUPPORT INC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 210 DAHLONEGA ST SUITE 102
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City | CUMMING
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State | GA
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Zip | 30040-2460
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Country | US
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Telephone | 888-400-0354
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Fax | 770-886-2551
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Provider Business Mailing Address
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Address Line | PO BOX 1127
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City | CUMMING
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State | GA
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Zip | 30028-1127
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Country | US
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Telephone | 888-400-0354
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Fax | 770-886-2551
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SOPHIA C MOLITOR
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Credential |
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Telephone | 888-400-0354
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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 | 07091544
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License Number State | GA
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