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General NPI Number Information
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NPI Number | 1396820551
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Entity Type | Organization
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Legal Business Name | FEDERAL MEDICAL EQUIPMENT &SUPPLIES
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15565 NORTHLAND DR W STE. 917 E
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5303
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Country | US
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Telephone | 248-568-5568
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Fax | 248-569-1229
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Provider Business Mailing Address
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Address Line | 15565 NORTHLAND DR W STE. 917 E
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5305
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Country | US
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Telephone | 248-568-5568
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Fax | 248-569-1229
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Authorized Official
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Title or Position | MANAGER
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Name | EDIE NEBA FABS
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Credential |
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Telephone | 248-569-5568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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