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General NPI Number Information
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NPI Number | 1528134145
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Entity Type | Organization
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Legal Business Name | CAREFIRST MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 6030 HWY 85 SUITE 224
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City | RIVERDALE
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State | GA
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Zip | 30274
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Country | US
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Telephone | 770-996-7489
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Fax | 770-996-7582
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Provider Business Mailing Address
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Address Line | 6030 HWY 85 SUITE 224
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City | RIVERDALE
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State | GA
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Zip | 30274
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Country | US
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Telephone | 770-996-7489
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Fax | 770-996-7582
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Authorized Official
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Title or Position | MANAGER OWNER
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Name | HENRIETTA CHIZOBA OKOYE
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Credential |
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Telephone | 770-996-7489
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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 |
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License Number State |
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