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General NPI Number Information
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NPI Number | 1942298740
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Entity Type | Organization
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Legal Business Name | 280 MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 11600 OLD HIGHWAY 280
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City | CHELSEA
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State | AL
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Zip | 35043-3000
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Country | US
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Telephone | 205-678-8755
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Fax | 888-611-8229
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Provider Business Mailing Address
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Address Line | 11600 OLD HIGHWAY 280
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City | CHELSEA
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State | AL
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Zip | 35043-3000
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Country | US
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Telephone | 205-678-8755
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Fax | 888-611-8229
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GEORGIA A LAY
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Credential | A.D.S.
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Telephone | 205-678-8755
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 652
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License Number State | AL
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