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General NPI Number Information
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NPI Number | 1740429380
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Entity Type | Organization
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Legal Business Name | AMS MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 02/04/2009
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 1305 S DIVISION ST STE 21
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City | SALISBURY
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State | MD
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Zip | 21804-6969
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Country | US
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Telephone | 410-749-0858
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Fax | 410-749-0859
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Provider Business Mailing Address
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Address Line | 1305 S DIVISION ST STE 21
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City | SALISBURY
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State | MD
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Zip | 21804-6969
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Country | US
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Telephone | 410-749-0858
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Fax | 410-749-0859
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Authorized Official
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Title or Position | OWNER
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Name | MR. KHACHATUR MARTIKYAN
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Credential |
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Telephone | 410-749-0858
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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 | 22379022
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License Number State | MD
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