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General NPI Number Information
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NPI Number | 1144475575
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Entity Type | Organization
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Legal Business Name | BIOTECH MEDICAL SYSTEMS, INC.
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 11/26/2008
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Provider Practice Location Address
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Address Line | 14987 CRANBROOK CT
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-2121
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Country | US
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Telephone | 800-432-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 14987 CRANBROOK CT
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-2121
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL S DORMAN
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Credential |
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Telephone | 586-873-5252
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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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