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General NPI Number Information
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NPI Number | 1922263557
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Entity Type | Organization
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Legal Business Name | MCM DME & SUPPLIES, INC.
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 868 W ORANGE ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4646
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Country | US
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Telephone | 910-485-7885
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Fax | 866-426-8304
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Provider Business Mailing Address
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Address Line | 868 W ORANGE ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4646
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Country | US
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Telephone | 910-485-7885
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Fax | 866-426-8304
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Authorized Official
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Title or Position | DIR. OF SALES AND MARKETING
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Name | MR. MAURICE LEOPOLD CARVER
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Credential |
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Telephone | 910-485-7885
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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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