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General NPI Number Information
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NPI Number | 1669609145
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Entity Type | Organization
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Legal Business Name | MENAX HEALTH CARE & MEDICAL SUPPLY
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 07/20/2009
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Provider Practice Location Address
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Address Line | 250 LANGLEY DRIVE SUITE # 1112-B OFFICE PLAZA PARK
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3652
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Country | US
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Telephone | 770-572-0794
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Fax | 770-573-1765
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Provider Business Mailing Address
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Address Line | 250 LANGLEY DRIVE SUITE # 1112-B OFFICE PLAZA PARK
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3652
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Country | US
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Telephone | 770-572-0794
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Fax | 770-573-1765
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LOUIS M CHUKWURAH
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Credential | CEO
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Telephone | 770-572-0794
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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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