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General NPI Number Information
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NPI Number | 1538228507
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Entity Type | Organization
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Legal Business Name | A PLUS DME
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 5875 N LINCOLN AVE LL43
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City | CHICAGO
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State | IL
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Zip | 60659-4672
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Country | US
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Telephone | 773-759-6798
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Fax | 773-878-7500
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Provider Business Mailing Address
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Address Line | 5875 N LINCOLN AVE LL43
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City | CHICAGO
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State | IL
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Zip | 60659-4672
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Country | US
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Telephone | 773-759-6798
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Fax | 773-878-7500
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Authorized Official
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Title or Position | OWNER
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Name | MR. NELSON A DAGIO
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Credential | RN
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Telephone | 773-759-6798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 1771033
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License Number State | IL
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