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NPI 1053586214

NPI 1053586214 : UNIVERSAL MEDICAL EQUIPMENT & SUPPLIES CO. : OAK PARK, MI

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General NPI Number Information
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    NPI Number           |    1053586214
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSAL MEDICAL EQUIPMENT & SUPPLIES CO. 
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Dates
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    Enumeration Date     |    04/28/2008
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    Last Update Date     |    04/28/2008
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Provider Practice Location Address
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    Address Line         |    21700 GREENFIELD RD STE 210 
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    City                 |    OAK PARK
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    State                |    MI
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    Zip                  |    48237-2538
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    Country              |    US
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    Telephone            |    248-968-5898
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    Fax                  |    248-968-5939
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Provider Business Mailing Address
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    Address Line         |    21700 GREENFIELD RD STE 210 
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    City                 |    OAK PARK
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    State                |    MI
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    Zip                  |    48237-2538
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    Country              |    US
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    Telephone            |    248-968-5898
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    Fax                  |    248-968-5939
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. CYRIL  NWAGURU 
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    Credential           |    MA, MSW, CSW, CACI
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    Telephone            |    248-968-5898
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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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