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General NPI Number Information
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NPI Number | 1215417738
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Entity Type | Organization
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Legal Business Name | AJAJ MEDICAL EQUIPMENT & SUPPLIES
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 3116 NORTH FRONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19133
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Country | US
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Telephone | 267-221-6787
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Fax |
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Provider Business Mailing Address
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Address Line | 1019 TOMLINSON RD
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3444
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Country | US
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Telephone | 267-221-6787
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MRS. SOAD IBRAHIM AJAJ
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Credential |
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Telephone | 267-221-6787
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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 | PA
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