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General NPI Number Information
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NPI Number | 1952238230
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Entity Type | Organization
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Legal Business Name | DOVE MEDICAL SUPPLY RETAIL LLC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 3716 BATTLEGROUND AVE STE D
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City | GREENSBORO
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State | NC
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Zip | 27410-2362
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Country | US
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Telephone | 336-285-7849
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Fax | 336-419-0160
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Provider Business Mailing Address
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Address Line | 8164 MABE MARSHALL RD BLDG 2
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City | SUMMERFIELD
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State | NC
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Zip | 27358-9225
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Country | US
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Telephone | 336-643-9367
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Fax | 336-419-0160
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Authorized Official
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Title or Position | CEO
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Name | TAMMY D BRIDGES
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Credential |
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Telephone | 336-643-9367
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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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