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NPI 1548518434

NPI 1548518434 : AZ MEDICAL EQUIPMENT, LLC : BURTON, MI

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General NPI Number Information
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    NPI Number           |    1548518434
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    Entity Type          |    Organization 
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    Legal Business Name  |    AZ MEDICAL EQUIPMENT, LLC 
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Dates
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    Enumeration Date     |    08/27/2012
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    Last Update Date     |    08/27/2012
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Provider Practice Location Address
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    Address Line         |    1481 S CENTER RD 
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    City                 |    BURTON
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    State                |    MI
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    Zip                  |    48509-1726
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    Country              |    US
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    Telephone            |    810-720-2990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1230 S LINDEN RD 
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48532-3459
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     MAHMOUD  ZAKI 
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    Credential           |    
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    Telephone            |    810-922-8221
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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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