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General NPI Number Information
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NPI Number | 1043650807
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Entity Type | Organization
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Legal Business Name | MEDICAL DEVICE CONSULTING
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 35104 EUCLID AVE SUITE #105
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4516
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Country | US
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Telephone | 440-269-8075
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Fax | 440-269-8186
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Provider Business Mailing Address
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Address Line | 35104 EUCLID AVE SUITE #105
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4516
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Country | US
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Telephone | 440-269-8075
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Fax | 440-269-8186
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | KIMBERLY ANN REED
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Credential | MBA
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Telephone | 440-269-8075
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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 | LO110-1
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License Number State | OH
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