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General NPI Number Information
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NPI Number | 1952024077
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Entity Type | Organization
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Legal Business Name | AN AMAZING PLACE MEDICAL EQUIPMENT & SUPPLIES LLC
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 223 STERLINGTON RD
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City | MONROE
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State | LA
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Zip | 71203-3846
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Country | US
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Telephone | 318-816-4976
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Fax | 318-816-4983
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Provider Business Mailing Address
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Address Line | 223 STERLINGTON RD
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City | MONROE
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State | LA
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Zip | 71203-3846
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LINDA TAYLOR
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Credential |
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Telephone | 318-450-9852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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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 |
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License Number State |
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