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General NPI Number Information
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NPI Number | 1427975945
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Entity Type | Organization
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Legal Business Name | DJ TRADE LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 801 E CHARLES ST
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City | OELWEIN
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State | IA
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Zip | 50662-1949
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Country | US
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Telephone | 226-538-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 2434 BERLIN TPKE STE 7
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City | NEWINGTON
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State | CT
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Zip | 06111-4102
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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 | CEO
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Name | MOHAMMAD KHALID
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Credential |
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Telephone | 226-538-0461
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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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