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1205140266 NPI number — DIAMOND STAR MEDICAL SUPPLY

NPI Number: 1205140266
Health Care Provider/Practitioner: DIAMOND STAR MEDICAL SUPPLY

Information about “1205140266” NPI (DIAMOND STAR MEDICAL SUPPLY) exists in 1205140266 in HTML format HTML  |  1205140266 in plain Text format TXT  |  1205140266 in PDF (Portable Document Format) PDF  |  1205140266 in an XML format XML  formats.

NPI Number : 1205140266 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205140266",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DIAMOND STAR MEDICAL SUPPLY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2410 S WAYNE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTLAND",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48186-5465",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-331-6488",
    "MailingAddressFaxNumber": "734-331-6498",
    "FirstLinePracticeLocationAddress": "2410 S WAYNE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTLAND",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48186-5465",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-331-6488",
    "PracticeLocationAddressFaxNumber": "734-331-6498",
    "EnumerationDate": "08/02/2010",
    "LastUpdateDate": "10/10/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AKWUE",
    "AuthorizedOfficialFirstName": "EMEKA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "734-331-6488",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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