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General NPI Number Information
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NPI Number | 1265681472
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Entity Type | Organization
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Legal Business Name | CRITTENTON MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 161 S. LIVERNOIS
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-1837
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Country | US
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Telephone | 248-650-4560
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Fax | 248-650-4563
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Provider Business Mailing Address
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Address Line | 161 SOUTH LIVERNOIS
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-1837
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Country | US
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Telephone | 248-650-4560
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Fax | 248-650-4563
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | LAURA WHALEN
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Credential |
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Telephone | 248-650-4560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | MI
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