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General NPI Number Information
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NPI Number | 1790977767
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Entity Type | Organization
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Legal Business Name | ATI HOLDINGS, LLC
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 4051 OGLETOWN RD STE 104
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City | NEWARK
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State | DE
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Zip | 19713-3101
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Country | US
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Telephone | 302-894-1600
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Fax | 302-894-1601
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone | 630-296-2222
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Fax |
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Authorized Official
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Title or Position | VP CHIEF COMPLIANCE OFFICER
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Name | WADE A MEYER
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Credential |
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Telephone | 630-296-2222
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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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