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General NPI Number Information
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NPI Number | 1962412031
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Entity Type | Organization
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Legal Business Name | MEDI-EQUIP, INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 409 HAPPY VALLEY RD
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City | GLASGOW
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State | KY
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Zip | 42141-1537
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Country | US
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Telephone | 270-651-9856
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Fax | 270-629-6097
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Provider Business Mailing Address
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Address Line | 409 HAPPY VALLEY RD
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City | GLASGOW
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State | KY
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Zip | 42141-1537
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Country | US
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Telephone | 270-651-9856
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Fax | 270-629-6097
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | STEVE JESSEE
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Credential |
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Telephone | 270-651-5159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | MG0274
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 006375
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | M00906
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License Number State | KY
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