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General NPI Number Information
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NPI Number | 1871191171
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Entity Type | Organization
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Legal Business Name | THE MEDICINE CHEST, LLC
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 99 MAPLE ST STE 21
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City | MIDDLEBURY
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State | VT
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Zip | 05753-1595
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Country | US
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Telephone | 802-388-9801
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Fax |
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Provider Business Mailing Address
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Address Line | 99 MAPLE ST STE 21
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City | MIDDLEBURY
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State | VT
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Zip | 05753-1595
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Country | US
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Telephone | 802-388-9801
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEBORAH ELIZABETH WESLEY
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Credential | RN
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Telephone | 802-388-9801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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