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General NPI Number Information
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NPI Number | 1417238080
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Entity Type | Organization
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Legal Business Name | CH MEDICAL SUPPLY AND EQUIPMENT
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 03/12/2012
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Provider Practice Location Address
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Address Line | 631 LUCIA AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-4517
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Country | US
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Telephone | 443-388-0532
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Fax |
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Provider Business Mailing Address
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Address Line | 631 LUCIA AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-4517
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Country | US
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Telephone | 443-388-0532
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAROLYN BEY
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Credential |
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Telephone | 443-388-0532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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