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General NPI Number Information
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NPI Number | 1437311982
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Entity Type | Organization
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Legal Business Name | AMES STREET LTD.
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 1547 SAINT CLAIR AVE NE
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City | CLEVELAND
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State | OH
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Zip | 44114-2003
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Country | US
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Telephone | 216-295-9170
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Fax | 216-574-2860
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Provider Business Mailing Address
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Address Line | 1547 SAINT CLAIR AVE NE
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City | CLEVELAND
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State | OH
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Zip | 44114-2003
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Country | US
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Telephone | 216-295-9170
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Fax | 216-574-2860
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD T ANDREWS III
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Credential |
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Telephone | 216-295-9170
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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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