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General NPI Number Information
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NPI Number | 1972926012
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Entity Type | Organization
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Legal Business Name | MTS DIRECT INC
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1221 COMMERCE DR
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City | CRETE
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State | IL
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Zip | 60417-3803
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Country | US
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Telephone | 800-687-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 COMMERCE DR STE 100
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City | CRETE
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State | IL
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Zip | 60417-3804
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Country | US
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Telephone | 800-687-6840
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA GATLIN
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Credential |
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Telephone | 708-252-1958
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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