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General NPI Number Information
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NPI Number | 1750346557
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Entity Type | Organization
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Legal Business Name | DRUG DOCS INC
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12740 GRATIOT AVE
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City | DETROIT
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State | MI
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Zip | 48205-3944
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Country | US
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Telephone | 313-371-3300
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Fax | 313-371-3344
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Provider Business Mailing Address
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Address Line | 12740 GRATIOT AVE
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City | DETROIT
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State | MI
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Zip | 48205-3944
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Country | US
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Telephone | 313-371-3300
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Fax | 313-371-3344
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Authorized Official
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Title or Position | PRESIDENT
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Name | AHAB ELMADHOUN
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Credential | PHARM.D MBA
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Telephone | 313-371-3300
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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 | 5301008294
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License Number State | MI
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