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General NPI Number Information
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NPI Number | 1598469280
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Entity Type | Organization
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Legal Business Name | OPEN ARMS MEDICAL SUPPLY COMPANY, LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 109 E 47TH ST
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City | CHICAGO
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State | IL
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Zip | 60653-3806
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Country | US
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Telephone | 312-644-0542
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Fax | 312-471-8913
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Provider Business Mailing Address
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Address Line | 109 E 47TH ST
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City | CHICAGO
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State | IL
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Zip | 60653-3806
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Country | US
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Telephone | 312-644-0542
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Fax | 312-471-8913
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | KIMBERLY KELLEY
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Credential |
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Telephone | 312-644-0542
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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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