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General NPI Number Information
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NPI Number | 1861710477
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Entity Type | Organization
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Legal Business Name | ALPHA N-MEDICAL EQUIPMENT & SUPPLIES
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 103 W 26TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-3617
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Country | US
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Telephone | 910-674-3408
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Fax | 910-674-4343
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Provider Business Mailing Address
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Address Line | 103 W 26TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-3617
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Country | US
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Telephone | 910-674-3408
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Fax | 910-674-4343
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Authorized Official
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Title or Position | PRESIDENT
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Name | JO LEATHA PETERSON
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Credential |
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Telephone | 910-674-3408
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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 | 01646
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License Number State | NC
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