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General NPI Number Information
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NPI Number | 1922272434
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Entity Type | Organization
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Legal Business Name | AHC MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 4395 S. CAMERON STREET SUITE A
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City | LAS VEGAS
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State | NV
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Zip | 89103
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Country | US
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Telephone | 801-890-7737
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Fax | 888-828-8290
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Provider Business Mailing Address
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Address Line | 10520 S 700 E STE 211
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City | SANDY
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State | UT
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Zip | 84070-0938
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Country | US
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Telephone | 801-890-7737
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Fax | 888-828-8290
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID CHARLES
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Credential |
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Telephone | 801-890-7737
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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 | 0012045
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License Number State | UT
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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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