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General NPI Number Information
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NPI Number | 1861673071
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Entity Type | Organization
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Legal Business Name | HEALTH CARE SOLUTIONS-DME
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 20605 THIRD AVE
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City | ETTRICK
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State | VA
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Zip | 23803-2005
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Country | US
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Telephone | 804-451-9359
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Fax | 804-451-9360
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-0580
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Country | US
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Telephone | 804-451-9359
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Fax | 804-451-9360
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANNETTE VERNELL WATTS-DAVIS
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Credential |
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Telephone | 804-526-8018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 33BC3200X
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 332B00000X
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License Number State | VA
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