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General NPI Number Information
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NPI Number | 1356836506
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Entity Type | Organization
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Legal Business Name | MEDEX MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 2390 WOODLAKE DR STE 380
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City | OKEMOS
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State | MI
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Zip | 48864-6018
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Country | US
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Telephone | 517-316-6241
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Fax |
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Provider Business Mailing Address
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Address Line | 2390 WOODLAKE DR STE 380
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City | OKEMOS
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State | MI
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Zip | 48864-6018
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Country | US
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Telephone | 517-316-6241
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZULFIQAR AHMED
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Credential |
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Telephone | 517-316-6241
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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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