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General NPI Number Information
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NPI Number | 1881698843
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Entity Type | Organization
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Legal Business Name | ADVANTAGE MEDICAL, INC.
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 25328 LANKFORD HWY
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City | ONLEY
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State | VA
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Zip | 23418
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Country | US
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Telephone | 757-789-5092
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Fax | 757-789-5095
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Provider Business Mailing Address
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Address Line | PO BOX 85
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City | ONLEY
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State | VA
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Zip | 23418
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Country | US
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Telephone | 757-789-5092
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Fax | 757-789-5095
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY BRIAN SHERR
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Credential | RPH
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Telephone | 410-749-8401
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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 | 0206009049
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License Number State | VA
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