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General NPI Number Information
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NPI Number | 1447470760
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Entity Type | Organization
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Legal Business Name | INMED LLC
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 15600 W 10 MILE RD # 13
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2147
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Country | US
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Telephone | 248-395-0233
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Fax | 248-395-0121
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Provider Business Mailing Address
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Address Line | 15600 W 10 MILE RD # 13
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2147
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Country | US
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Telephone | 248-395-0233
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Fax | 248-395-0121
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Authorized Official
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Title or Position | OWNER
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Name | MRS. OLGA PARSAMYAN
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Credential |
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Telephone | 818-636-2070
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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 | D1420C
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License Number State | MI
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