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General NPI Number Information
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NPI Number | 1962050005
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Entity Type | Organization
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Legal Business Name | PRIME MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 09/02/2019
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 3916 E MCKINNEY ST STE 101
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City | DENTON
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State | TX
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Zip | 76208-4694
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Country | US
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Telephone | 940-236-7719
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 E MCKINNEY ST STE 101
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City | DENTON
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State | TX
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Zip | 76208-4694
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Country | US
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Telephone | 940-236-7719
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN WORLEY
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Credential |
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Telephone | 866-284-8872
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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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