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General NPI Number Information
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NPI Number | 1588851091
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Entity Type | Organization
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Legal Business Name | ALPINE MEDICAL SUPPLY & REHAB
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 333 MAGAZINE ST STE 103
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City | SAULT SAINTE MARIE
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State | MI
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Zip | 49783-1867
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Country | US
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Telephone | 906-632-4400
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Fax | 231-258-8204
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Provider Business Mailing Address
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Address Line | PO BOX 478
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City | KALKASKA
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State | MI
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Zip | 49646-0478
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Country | US
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Telephone | 231-258-8200
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Fax | 231-258-8204
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DONNA L WHITENIGHT
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Credential |
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Telephone | 231-258-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | MI
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Taxonomy #2
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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 | MI
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