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General NPI Number Information
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NPI Number | 1871777318
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Entity Type | Organization
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Legal Business Name | CHS DME LLC
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 13707 N NEBRASKA AVE
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City | TAMPA
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State | FL
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Zip | 33613-3320
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Country | US
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Telephone | 813-971-4570
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Fax | 813-971-4571
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Provider Business Mailing Address
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Address Line | 615 W CARMEL DR SUITE 100
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City | CARMEL
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State | IN
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Zip | 46032-2996
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Country | US
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Telephone | 317-706-1080
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Fax |
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Authorized Official
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Title or Position | LICENSING
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Name | ERIN HALL
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Credential |
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Telephone | 317-706-1080
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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 | 1313475
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License Number State | FL
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