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General NPI Number Information
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NPI Number | 1578589032
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Entity Type | Organization
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Legal Business Name | UNIVERSAL MEDICAL EQUIPMENT & SUPPLIES,INC.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 21700 GREENFIELD RD STE. 210
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City | OAK PARK
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State | MI
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Zip | 48237-2581
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Country | US
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Telephone | 248-968-5898
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Fax | 248-968-5939
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Provider Business Mailing Address
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Address Line | 21700 GREENFIELD RD STE. 210
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City | OAK PARK
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State | MI
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Zip | 48237-2581
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Country | US
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Telephone | 248-968-5898
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Fax | 248-968-5939
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. CYRIL C. NWAGURU
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Credential | MA,MSW,CSW,LMSW
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Telephone | 248-968-5898
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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 | 5979070001
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License Number State | MI
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