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General NPI Number Information
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NPI Number | 1922006741
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Entity Type | Organization
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Legal Business Name | HANDI MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 2505 UNIVERSITY AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55114-1536
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Country | US
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Telephone | 651-644-9770
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Fax | 651-644-0602
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Provider Business Mailing Address
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Address Line | 2505 UNIVERSITY AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55114-1536
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Country | US
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Telephone | 651-644-9770
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Fax | 651-644-0602
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Authorized Official
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Title or Position | CEO
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Name | SHAUN ROBISON
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Credential |
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Telephone | 651-287-3532
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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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