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General NPI Number Information
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NPI Number | 1780357764
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Entity Type | Organization
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Legal Business Name | 365 DME, LLC
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 9860 HUDSON RD
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City | PITTSFORD
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State | MI
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Zip | 49271-9861
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Country | US
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Telephone | 517-997-5938
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Fax | 855-978-1450
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Provider Business Mailing Address
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Address Line | 9860 HUDSON RD
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City | PITTSFORD
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State | MI
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Zip | 49271-9861
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Country | US
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Telephone | 517-997-5938
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Fax | 855-978-1450
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Authorized Official
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Title or Position | OWNER
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Name | ROBYN JONES
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Credential |
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Telephone | 517-997-5938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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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 | 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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