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General NPI Number Information
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NPI Number | 1689008575
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Entity Type | Organization
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Legal Business Name | PDP MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 8647 W 95TH ST
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City | HICKORY HILLS
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State | IL
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Zip | 60457-1730
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Country | US
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Telephone | 630-953-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 376 S SUMMIT AVE COURT E
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-2987
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Country | US
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Telephone | 630-953-7250
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JIM KINGSLEY
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Credential |
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Telephone | 630-953-7250
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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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