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General NPI Number Information
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NPI Number | 1376263855
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE DME LLC
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 11350 RANDOM HILLS RD STE 800
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City | FAIRFAX
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State | VA
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Zip | 22030-6044
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Country | US
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Telephone | 888-797-0057
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Fax |
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Provider Business Mailing Address
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Address Line | 11350 RANDOM HILLS RD STE 800
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City | FAIRFAX
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State | VA
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Zip | 22030-6044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | JOHN ECKERT
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Credential |
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Telephone | 603-505-5650
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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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