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General NPI Number Information
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NPI Number | 1356455182
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Entity Type | Organization
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Legal Business Name | E2 DURABLE MEDICAL EQUIPMENT LLC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23077 GREENFIELD ROAD SUITE 282
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-552-1960
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Fax | 248-552-1961
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Provider Business Mailing Address
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Address Line | 23077 GREENFIELD ROAD SUITE 282
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-552-1960
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Fax | 248-552-1961
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINA HOUSTON
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Credential |
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Telephone | 248-552-1960
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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 | MI
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