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General NPI Number Information
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NPI Number | 1902569981
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Entity Type | Organization
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Legal Business Name | PRISM MEDICAL PRODUCTS, L.L.C.
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 6345 S PECOS RD STE 203-205
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City | LAS VEGAS
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State | NV
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Zip | 89120-6222
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Country | US
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Telephone | 888-244-6421
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Fax | 800-975-6321
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Provider Business Mailing Address
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Address Line | PO BOX 476
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City | ELKIN
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State | NC
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Zip | 28621-0476
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Country | US
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Telephone | 336-258-4315
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Fax | 888-589-8879
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER CARTWRIGHT
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Credential |
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Telephone | 800-215-6405
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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 |
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License Number State |
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