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General NPI Number Information
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NPI Number | 1649452913
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Entity Type | Organization
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Legal Business Name | AMERICAN BEST MEDICAL SURGICAL SUPPLY,INC.
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 6336 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60659-1702
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Country | US
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Telephone | 773-764-4339
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Fax | 773-764-5280
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Provider Business Mailing Address
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Address Line | 6336 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60659-1702
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Country | US
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Telephone | 773-764-4339
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Fax | 773-764-5280
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LEONID RAKITIN
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Credential |
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Telephone | 773-764-4339
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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 | 203-000711
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License Number State | IL
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