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General NPI Number Information
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NPI Number | 1558320911
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Entity Type | Organization
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Legal Business Name | A & E MEDICAL SUPPLY, INC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 1832 TECHNY CT
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City | NORTHBROOK
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State | IL
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Zip | 60062-5474
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Country | US
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Telephone | 773-205-0011
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Fax | 773-205-0044
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Provider Business Mailing Address
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Address Line | 1832 TECHNY CT
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City | NORTHBROOK
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State | IL
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Zip | 60062-5474
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Country | US
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Telephone | 773-205-0011
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Fax | 773-205-0044
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | LEO AKSELRUD
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Credential |
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Telephone | 773-205-0011
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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 | 203000698
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License Number State | IL
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