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1487829941 NPI number — REDEMPTIVE MEDICAL EQUIPMENT ,LLC

NPI Number: 1487829941
Health Care Provider/Practitioner: REDEMPTIVE MEDICAL EQUIPMENT ,LLC

Information about “1487829941” NPI (REDEMPTIVE MEDICAL EQUIPMENT ,LLC) exists in 1487829941 in HTML format HTML  |  1487829941 in plain Text format TXT  |  1487829941 in PDF (Portable Document Format) PDF  |  1487829941 in an XML format XML  formats.

NPI Number : 1487829941 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487829941",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REDEMPTIVE MEDICAL EQUIPMENT ,LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "30550 GRATIOT AVE UNIT 247",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROSEVILLE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48066-6710",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-498-7900",
    "MailingAddressFaxNumber": "877-218-4462",
    "FirstLinePracticeLocationAddress": "16190 E 13 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROSEVILLE",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48066-1505",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-498-7900",
    "PracticeLocationAddressFaxNumber": "877-218-4462",
    "EnumerationDate": "04/25/2008",
    "LastUpdateDate": "02/15/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SYNOD",
    "AuthorizedOfficialFirstName": "STEPHANIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VICE-PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "586-778-1679",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BC3200X",
        "TaxonomyName": "Customized Equipment (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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