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General NPI Number Information
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NPI Number | 1861175721
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Entity Type | Organization
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Legal Business Name | PRIMELIFE EQUIPMENT LLC
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 3365 N ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7700
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Country | US
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Telephone | 224-477-7818
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Fax |
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Provider Business Mailing Address
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Address Line | 3365 N ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7700
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Country | US
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Telephone | 224-477-7818
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAHEER BIN HASSAN
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Credential |
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Telephone | 773-796-0812
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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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