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General NPI Number Information
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NPI Number | 1609632850
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Entity Type | Organization
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Legal Business Name | A1 MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 26206 W 12 MILE RD STE 204
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8500
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Country | US
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Telephone | 517-366-1447
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Fax |
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Provider Business Mailing Address
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Address Line | 26206 W 12 MILE RD STE 204
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8500
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Country | US
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Telephone | 517-366-1447
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Fax |
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Authorized Official
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Title or Position | MANGER
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Name | MR. ZACH JOHN
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Credential |
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Telephone | 517-366-1447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #3
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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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