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General NPI Number Information
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NPI Number | 1932208725
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Entity Type | Organization
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Legal Business Name | C & I-BETA MEDICAL EQUIPMENT & SUPPLY
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 24821 5 MILE RD SUITE #1
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City | REDFORD
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State | MI
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Zip | 48239-3695
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Country | US
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Telephone | 734-437-3112
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Fax | 734-437-3115
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Provider Business Mailing Address
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Address Line | 24821 5 MILE RD SUITE #1
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City | REDFORD
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State | MI
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Zip | 48239-3695
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Country | US
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Telephone | 734-437-3112
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Fax | 734-437-3115
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Authorized Official
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Title or Position | C.E.O
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Name | MR. CHIGBO C EMOKAH
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Credential |
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Telephone | 734-437-3112
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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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