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General NPI Number Information
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NPI Number | 1871355511
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Entity Type | Organization
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Legal Business Name | INCLUSIONMD INC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 24350 JOY RD STE 4B
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City | REDFORD
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State | MI
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Zip | 48239-1265
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Country | US
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Telephone | 248-833-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 490 NEWBURNE POINTE
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-1409
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Country | US
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Telephone | 248-833-8338
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VINCENT BERRY
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Credential |
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Telephone | 248-833-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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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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