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General NPI Number Information
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NPI Number | 1467487090
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY DME INC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 660 WOODWARD AVE SUITE 1057
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City | DETROIT
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State | MI
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Zip | 48226-3516
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Country | US
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Telephone | 313-962-8072
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Fax | 313-962-8288
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Provider Business Mailing Address
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Address Line | PO BOX 623
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City | SOUTHFIELD
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State | MI
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Zip | 48037-0623
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Country | US
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Telephone | 313-962-8072
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Fax | 313-962-8288
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS YOLANDE INGRID STEPHENSON
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Credential |
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Telephone | 313-962-8072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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