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General NPI Number Information
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NPI Number | 1851319594
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Entity Type | Organization
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Legal Business Name | CARTERS MEDICAL EQUIPMENT AND SUPPLIES INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 4345 N 60 ST
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City | MILWAUKEE
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State | WI
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Zip | 53216-1209
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Country | US
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Telephone | 414-438-0522
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Fax | 414-438-0380
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Provider Business Mailing Address
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Address Line | 4345 N 60 ST
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City | MILWAUKEE
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State | WI
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Zip | 53216-1209
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Country | US
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Telephone | 414-438-0522
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Fax | 414-438-0380
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. KEVIN MAURICE JOHNSON
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Credential |
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Telephone | 414-438-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332000000X
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Taxonomy Name | Military/U.S. Coast Guard Pharmacy
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License Number | 004000011500701
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License Number State | WI
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