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General NPI Number Information
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NPI Number | 1184738817
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Entity Type | Organization
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Legal Business Name | HEALTHCHECK MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29850 SPRING RIVER DR
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5738
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Country | US
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Telephone | 248-854-1475
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Fax | 248-395-1512
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Provider Business Mailing Address
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Address Line | 29850 SPRING RIVER DR
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5738
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Country | US
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Telephone | 248-854-1475
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Fax | 248-395-1512
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Authorized Official
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Title or Position | CHAIRMAN/CEO
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Name | MR. FRED TROY JOHNSON
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Credential | MHA
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Telephone | 248-854-1475
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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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