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General NPI Number Information
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NPI Number | 1912998139
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Entity Type | Organization
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Legal Business Name | SPRINGCARE MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1161 MURFREESBORO PIKE SUITE 105
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City | NASHVILLE
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State | TN
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Zip | 37217-2222
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Country | US
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Telephone | 615-367-6262
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Fax | 615-367-6261
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Provider Business Mailing Address
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Address Line | 1161 MURFREESBORO PIKE SUITE 105
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City | NASHVILLE
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State | TN
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Zip | 37217-2222
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Country | US
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Telephone | 615-367-6262
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Fax | 615-367-6261
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Authorized Official
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Title or Position | PRESIDENT
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Name | EKERETTE MICHAEL UKPONG
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Credential |
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Telephone | 615-367-6262
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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 | 862
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License Number State | TN
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