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General NPI Number Information
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NPI Number | 1932259470
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Entity Type | Organization
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Legal Business Name | MCS GLOBAL MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 1900 N AUSTIN AVE SUITE 100
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City | CHICAGO
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State | IL
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Zip | 60639-5010
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Country | US
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Telephone | 773-664-0034
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Fax | 773-664-0035
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Provider Business Mailing Address
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Address Line | 1900 N AUSTIN AVE SUITE 100
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City | CHICAGO
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State | IL
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Zip | 60639-5010
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Country | US
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Telephone | 773-664-0034
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Fax | 773-664-0035
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Authorized Official
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Title or Position | ACCOUNT EXECUTIVE
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Name | MR. SAM I NWACHUKWU
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Credential |
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Telephone | 773-664-0034
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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 | 203.000451
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License Number State | IL
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