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General NPI Number Information
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NPI Number | 1255425310
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Entity Type | Organization
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Legal Business Name | ADVANTAGE MEDICAL SUPPLIES
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 8605 CAMERON ST SUITE 225
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City | SILVER SPRING
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State | MD
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Zip | 20910-3710
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Country | US
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Telephone | 301-608-0116
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Fax | 301-608-0221
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Provider Business Mailing Address
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Address Line | 8605 CAMERON ST SUITE 225
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City | SILVER SPRING
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State | MD
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Zip | 20910-3710
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Country | US
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Telephone | 301-608-0116
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Fax | 301-608-0221
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Authorized Official
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Title or Position | OWNER
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Name | MRS. IRENE AKRO INYANG
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Credential | RN
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Telephone | 301-608-0116
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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 | R2134
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License Number State | MD
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