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NPI 1659316420

NPI 1659316420 : UNIFORMS UNLTD : ELLSWORTH, MI

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General NPI Number Information
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    NPI Number           |    1659316420
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIFORMS UNLTD 
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Dates
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    Enumeration Date     |    06/17/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    8183 ELLSWORTH RD 
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    City                 |    ELLSWORTH
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    State                |    MI
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    Zip                  |    49729-9686
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    Country              |    US
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    Telephone            |    231-237-9605
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    Fax                  |    231-588-6316
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Provider Business Mailing Address
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    Address Line         |    8183 ELLSWORTH RD 
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    City                 |    ELLSWORTH
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    State                |    MI
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    Zip                  |    49729-9686
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    Country              |    US
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    Telephone            |    231-237-9605
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    Fax                  |    231-588-6316
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Authorized Official
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    Title or Position    |    DME PROVIDER
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    Name                 |    MRS. CYNTHIA L CEBULSKI 
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    Credential           |    
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    Telephone            |    231-237-9605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    MI
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