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General NPI Number Information
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NPI Number | 1427504208
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Entity Type | Organization
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Legal Business Name | A & G MEDICAL SUPLLIES, INC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 18019 DIXIE HWY STE 1A
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City | HOMEWOOD
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State | IL
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Zip | 60430-3058
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Country | US
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Telephone | 646-363-2191
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Fax |
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Provider Business Mailing Address
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Address Line | 18019 DIXIE HWY STE 1A
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City | HOMEWOOD
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State | IL
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Zip | 60430-3058
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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 | PRESIDENT
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Name | EKERE AKPAN
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Credential |
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Telephone | 646-363-2191
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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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