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General NPI Number Information
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NPI Number | 1831416650
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Entity Type | Organization
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Legal Business Name | MACY HEALTH MEDICAL EQUIPMENT LLC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 3002 ANNABELLE PL
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City | BOWIE
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State | MD
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Zip | 20716-3842
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Country | US
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Telephone | 202-510-8571
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Fax | 202-558-3828
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Provider Business Mailing Address
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Address Line | 3002 ANNABELLE PL
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City | BOWIE
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State | MD
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Zip | 20716-3842
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Country | US
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Telephone | 202-510-8571
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Fax | 202-558-3828
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. POLITE ISU
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Credential |
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Telephone | 202-510-8571
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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 | R2884
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License Number State | MD
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