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General NPI Number Information
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NPI Number | 1376764316
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Entity Type | Organization
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Legal Business Name | SUPERIOR DURABLE MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 83 E AVON RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3101
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Country | US
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Telephone | 248-701-9326
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Fax | 248-203-0763
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Provider Business Mailing Address
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Address Line | 83 E AVON RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3101
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Country | US
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Telephone | 248-701-9326
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Fax | 248-203-0763
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Authorized Official
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Title or Position | OWNER
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Name | MR. RUDY J SANTOS
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Credential |
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Telephone | 248-701-9326
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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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