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General NPI Number Information
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NPI Number | 1447314463
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Entity Type | Organization
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Legal Business Name | SAMELA, INC.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 650 ANTHONY TRL STE A
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City | NORTHBROOK
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State | IL
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Zip | 60062-2512
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Country | US
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Telephone | 800-563-0161
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Fax | 847-559-0098
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Provider Business Mailing Address
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Address Line | 1200 BARCLAY BLVD
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-4500
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Country | US
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Telephone | 800-563-0161
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Fax | 847-559-0098
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Authorized Official
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Title or Position | P RESIDENT
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Name | MR. ADAM GREENBERG
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Credential |
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Telephone | 800-563-0161
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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 | 203-000358
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License Number State | IL
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