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General NPI Number Information
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NPI Number | 1700976768
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Entity Type | Organization
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Legal Business Name | NEDICH INC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 4305 PINEVIEW DR SUITE 300
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48390-4111
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Country | US
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Telephone | 248-366-7000
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Fax | 888-566-0216
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Provider Business Mailing Address
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Address Line | 4305 PINEVIEW DR SUITE 300
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48390-4111
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Country | US
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Telephone | 248-366-7000
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Fax | 888-566-0216
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SASHA NEDIC
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Credential |
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Telephone | 248-366-7000
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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 | 5306002267
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License Number State | MI
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