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General NPI Number Information
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NPI Number | 1891950960
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Entity Type | Organization
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Legal Business Name | M & M SUPPLIES, INC.
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 251 MILWAUKEE AVE STE 1013
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-2809
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Country | US
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Telephone | 877-520-9535
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Fax | 847-520-9565
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Provider Business Mailing Address
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Address Line | 251 MILWAUKEE AVE STE 1013
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-2809
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Country | US
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Telephone | 877-520-9535
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Fax | 847-520-9565
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BRENDA AGUAYO
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Credential |
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Telephone | 877-520-9535
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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 | 203.001020
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License Number State | IL
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