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General NPI Number Information
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NPI Number | 1497826192
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Entity Type | Organization
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Legal Business Name | QUICKSTAR MEDICAL EQUIPMENT & SUPPLIES
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 900 JORIE BLVD SUITE # 101 A
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City | OAK BROOK
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State | IL
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Zip | 60523-2213
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Country | US
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Telephone | 630-472-7570
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Fax | 630-472-7571
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Provider Business Mailing Address
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Address Line | 900 JORIE BLVD SUITE # 101 A
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City | OAK BROOK
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State | IL
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Zip | 60523-2213
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Country | US
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Telephone | 630-920-1410
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOINUDDIN SAIYED
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Credential |
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Telephone | 630-472-7570
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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 | 5668410001
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License Number State | IL
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