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General NPI Number Information
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NPI Number | 1992077101
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Entity Type | Organization
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Legal Business Name | KNABLE GENERAL CONTRACTING SERVICES, L.L.C
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 1685 ANDERSON HWY
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City | POWHATAN
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State | VA
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Zip | 23139-8048
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Country | US
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Telephone | 804-594-7209
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Fax | 804-379-1824
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Provider Business Mailing Address
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Address Line | 1685 ANDERSON HWY
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City | POWHATAN
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State | VA
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Zip | 23139-8048
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Country | US
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Telephone | 804-594-7209
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Fax | 804-379-1824
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Authorized Official
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Title or Position | MANAGER
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Name | MS. SARAH MELTON MOORE
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Credential |
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Telephone | 804-594-7209
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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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