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General NPI Number Information
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NPI Number | 1912092073
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Entity Type | Organization
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Legal Business Name | MICHIGAN MEDICAL EQUIPMENT,INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 11918 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48150-1724
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Country | US
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Telephone | 734-522-8531
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Fax | 734-522-6846
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Provider Business Mailing Address
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Address Line | 11906 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48150-1724
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Country | US
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Telephone | 734-522-8531
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Fax | 734-522-6846
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN TERWILLIGER
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Credential |
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Telephone | 734-522-8531
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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 | MI
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