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General NPI Number Information
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NPI Number | 1033487566
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Entity Type | Organization
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Legal Business Name | AC ORTHOPEDIC SUPPLY
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 9350 COTTAGE PARK
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City | GREENVILLE
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State | MI
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Zip | 48838-7202
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Country | US
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Telephone | 616-232-2665
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Fax |
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Provider Business Mailing Address
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Address Line | 9350 COTTAGE PARK
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City | GREENVILLE
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State | MI
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Zip | 48838-7202
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Country | US
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Telephone | 616-232-2665
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Fax |
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | DR. ADAM COTE
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Credential | D.O.
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Telephone | 616-232-2665
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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 | D67225
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License Number State | MI
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