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General NPI Number Information
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NPI Number | 1538395249
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Entity Type | Organization
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Legal Business Name | ROCHE INSULIN DELIVERY SYSTEMS INC.
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 2820 COLUMBIANA RD SUITE 210
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City | BIRMINGHAM
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State | AL
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Zip | 35216-2589
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Country | US
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Telephone | 800-280-7801
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Fax | 317-570-5300
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Provider Business Mailing Address
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Address Line | 11800 EXIT 5 PKWY SUITE 120
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City | FISHERS
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State | IN
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Zip | 46037-7988
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Country | US
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Telephone | 800-280-7801
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Fax | 317-570-5300
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Authorized Official
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Title or Position | DIRECTOR, BUSINESS OPERATIONS
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Name | MR. HOWARD SAMS
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Credential |
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Telephone | 317-521-0108
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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 | 69000283A
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License Number State | IN
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