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General NPI Number Information
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NPI Number | 1235309782
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Entity Type | Organization
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Legal Business Name | A & G HOME MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 333 W DUNDEE RD SUITE 103
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-3545
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Country | US
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Telephone | 847-229-3474
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Fax | 847-229-3475
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Provider Business Mailing Address
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Address Line | 333 W DUNDEE RD SUITE 103
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-3545
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Country | US
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Telephone | 847-229-3474
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Fax | 847-229-3475
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALLA VOSKOVETSKY
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Credential |
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Telephone | 224-676-0168
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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 | IL
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