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General NPI Number Information
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NPI Number | 1720011000
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Entity Type | Organization
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Legal Business Name | MILLENIUM MEDICAL SUPPLIES,INC.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 ELIZABETH ST
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City | PATERSON
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State | NJ
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Zip | 07503-2647
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Country | US
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Telephone | 973-279-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ELIZABETH ST
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City | PATERSON
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State | NJ
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Zip | 07503-2647
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Country | US
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Telephone | 973-279-1400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAJDI AHEMED
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Credential |
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Telephone | 973-279-1400
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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 | 5002656
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License Number State | NJ
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