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General NPI Number Information
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NPI Number | 1083802086
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Entity Type | Organization
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Legal Business Name | FIRST STEP MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 4415 EUCLID AVE #349
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City | CLEVELAND
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State | OH
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Zip | 44103-3759
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Country | US
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Telephone | 216-432-0939
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Fax | 216-432-0926
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Provider Business Mailing Address
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Address Line | 4415 EUCLID AVE #349
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City | CLEVELAND
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State | OH
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Zip | 44103-3759
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Country | US
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Telephone | 216-432-0939
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Fax | 216-432-0926
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYMOND L BOYD
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Credential |
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Telephone | 216-432-0939
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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 | 200604701542
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License Number State | OH
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