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General NPI Number Information
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NPI Number | 1548457500
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Entity Type | Organization
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Legal Business Name | BIRMINGHAM MEDICAL SUPPLY & REPAIR LLC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 620 HANNA ST
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1618
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Country | US
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Telephone | 248-530-0116
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Fax | 248-258-6907
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Provider Business Mailing Address
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Address Line | 950 E MAPLE RD SUITE 120
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6408
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Country | US
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Telephone | 248-530-0116
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Fax | 248-258-6907
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JANET C BURGER
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Credential |
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Telephone | 248-530-0116
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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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