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General NPI Number Information
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NPI Number | 1023556602
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Entity Type | Organization
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Legal Business Name | MERRY WALKER CORPORATION
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 21350 WEST SYLVAN DRIVE SOUTH
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City | MUNDELEIN
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State | IL
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Zip | 60060
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Country | US
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Telephone | 847-837-9580
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Fax | 847-837-9582
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Provider Business Mailing Address
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Address Line | 21350 WEST SYLVAN DRIVE SOUTH
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City | MUNDELEIN
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State | IL
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Zip | 60060
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Country | US
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Telephone | 847-837-9580
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Fax | 847-837-9582
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Authorized Official
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Title or Position | CEO
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Name | MS. MARY M. HARROUN
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Credential |
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Telephone | 847-837-9580
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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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