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General NPI Number Information
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NPI Number | 1841409521
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Entity Type | Organization
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Legal Business Name | BORT-SWISS ORTHOPEDIC SUPPLY
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2221 APPLEBROOK DR
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-1579
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Country | US
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Telephone | 248-242-6907
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Fax | 248-242-6908
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Provider Business Mailing Address
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Address Line | 2221 APPLEBROOK DR
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-1579
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Country | US
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Telephone | 248-242-6907
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Fax | 248-242-6908
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARILYN SWISS
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Credential |
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Telephone | 248-242-6907
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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 | B
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License Number State | MI
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