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General NPI Number Information
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NPI Number | 1710048194
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Entity Type | Organization
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Legal Business Name | J AND G MEDICAL SUPPLY INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 23151 TELEGRAPH RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034
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Country | US
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Telephone | 249-951-1111
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Fax | 248-351-1118
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Provider Business Mailing Address
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Address Line | 23151 TELEGRAPH RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034
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Country | US
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Telephone | 249-951-1111
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Fax | 248-351-1118
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Authorized Official
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Title or Position | CHEF MANAGER
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Name | MR. SAMI LOUSSIA
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Credential |
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Telephone | 248-410-6552
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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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Taxonomy #2
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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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