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General NPI Number Information
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NPI Number | 1508064734
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Entity Type | Organization
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Legal Business Name | DIAMOND MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 5231 W WOODMILL DR STE 45
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City | WILMINGTON
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State | DE
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Zip | 19808-4068
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Country | US
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Telephone | 302-999-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 5231 W WOODMILL DR STE 45
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City | WILMINGTON
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State | DE
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Zip | 19808-4068
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Country | US
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Telephone | 302-999-1900
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Fax |
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Authorized Official
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Title or Position | ACCOUNT EXECUTIVE
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Name | MARLENE B DOHERTY
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Credential |
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Telephone | 302-999-1900
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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 | 2006206805
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License Number State | DE
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