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General NPI Number Information
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NPI Number | 1922878859
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Entity Type | Organization
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Legal Business Name | FORESTER FAMILY MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 4061 S ELIOT ST
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City | ENGLEWOOD
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State | CO
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Zip | 80110-4396
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Country | US
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Telephone | 720-219-2061
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Fax | 720-228-3839
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Provider Business Mailing Address
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Address Line | 9457 S UNIVERSITY BLVD UNIT 840
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-4976
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Country | US
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Telephone | 202-192-0617
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Fax | 720-228-3839
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Authorized Official
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Title or Position | FOUNDER / CRO
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Name | MR. GARY FORESTER
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Credential |
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Telephone | 720-219-2061
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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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