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General NPI Number Information
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NPI Number | 1538255575
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Entity Type | Organization
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Legal Business Name | ESKOTT MEDICAL SUPPLY CORP
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6475 NEW HAMPSHIRE AVE SUITE 203
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3269
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Country | US
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Telephone | 301-891-1141
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Fax | 301-891-1022
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Provider Business Mailing Address
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Address Line | 6475 NEW HAMPSHIRE AVE SUITE 203
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City | HYATTSVILLE
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State | MD
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Zip | 20783-3269
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Country | US
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Telephone | 301-891-1141
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Fax | 301-891-1022
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Authorized Official
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Title or Position | CEO
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Name | MR. ESEMA EKOTT UMOHANWAN
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Credential |
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Telephone | 301-891-1141
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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 | 11540232
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License Number State | MD
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