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General NPI Number Information
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NPI Number | 1295443323
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Entity Type | Organization
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Legal Business Name | C&L MEDICAL SUPPLY, INC.
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 620 N LA SALLE DR STE 229
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City | CHICAGO
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State | IL
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Zip | 60654-3708
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Country | US
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Telephone | 214-674-8108
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Fax |
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Provider Business Mailing Address
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Address Line | 620 N LA SALLE DR STE 229
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City | CHICAGO
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State | IL
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Zip | 60654-3708
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Country | US
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Telephone | 214-674-8108
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | PATRICIA LABAR
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Credential |
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Telephone | 214-674-8108
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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 |
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