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General NPI Number Information
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NPI Number | 1881674588
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Entity Type | Organization
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Legal Business Name | DALECO, INC.
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 126 E KARSCH BLVD
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City | FARMINGTON
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State | MO
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Zip | 63640-1212
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Country | US
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Telephone | 573-756-9617
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Fax | 573-756-4525
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Provider Business Mailing Address
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Address Line | 120 E. KARSCH BLVD.
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City | FARMINGTON
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State | MO
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Zip | 63640-1212
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Country | US
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Telephone | 573-756-9617
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Fax | 573-756-4525
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN LAFRANCE JR.
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Credential |
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Telephone | 870-850-8312
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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 | 2003019222
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License Number State | MO
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