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General NPI Number Information
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NPI Number | 1487784948
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Entity Type | Organization
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Legal Business Name | DIABETIC SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 1710 UPPER VALLEY PIKE
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City | SPRINGFIELD
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State | OH
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Zip | 45504-4030
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Country | US
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Telephone | 937-342-8800
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Fax | 937-342-8805
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Provider Business Mailing Address
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Address Line | 1710 UPPER VALLEY PIKE
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City | SPRINGFIELD
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State | OH
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Zip | 45504-4030
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Country | US
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Telephone | 937-342-8800
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Fax | 937-342-8805
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ROBERT Q BAKER
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Credential |
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Telephone | 937-342-8800
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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 | 128
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License Number State | OH
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