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General NPI Number Information
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NPI Number | 1649035437
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Entity Type | Organization
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Legal Business Name | ASTER MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 11326 ARCHDALE ST
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City | DETROIT
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State | MI
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Zip | 48227
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Country | US
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Telephone | 248-270-5907
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Fax |
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Provider Business Mailing Address
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Address Line | 28475 GREENFIELD RD STE 113 #7720
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City | SOUTHFIELD
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State | MI
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Zip | 48076
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL EQUIPMENT SUPPLIER
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Name | MIKAIYA DALE
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Credential |
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Telephone | 248-270-5907
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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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