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General NPI Number Information
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NPI Number | 1053316810
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Entity Type | Organization
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Legal Business Name | APM MEDICAL SUPPLIES
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 5025 S EASTERN AVE SUITE 4
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City | LAS VEGAS
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State | NV
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Zip | 89119-2318
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Country | US
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Telephone | 702-259-0374
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Fax | 702-259-4729
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Provider Business Mailing Address
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Address Line | 5025 S EASTERN AVE SUITE 4
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City | LAS VEGAS
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State | NV
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Zip | 89119-2318
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Country | US
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Telephone | 702-259-0374
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Fax | 702-259-4729
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AMANDA LEA DENTO
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Credential |
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Telephone | 469-939-6116
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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 | NV
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Taxonomy #2
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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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