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General NPI Number Information
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NPI Number | 1588644736
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Entity Type | Organization
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Legal Business Name | DIABETES PLUS, INC.
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Dates
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Enumeration Date | 01/21/2006
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 32875 HAYES RD
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City | WARREN
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State | MI
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Zip | 48088-7367
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Country | US
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Telephone | 586-285-9330
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Fax | 586-285-9370
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Provider Business Mailing Address
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Address Line | 32875 HAYES RD
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City | WARREN
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State | MI
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Zip | 48088-7367
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Country | US
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Telephone | 586-285-9330
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Fax | 586-285-9370
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MARK F GIELNIAK
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Credential |
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Telephone | 586-285-9330
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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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