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General NPI Number Information
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NPI Number | 1942266473
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Entity Type | Organization
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Legal Business Name | ADVANCE MEDICAL EQUIPMENT, INC
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 1930 S FAIRFIELD AVE
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City | CHICAGO
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State | IL
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Zip | 60608-2410
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Country | US
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Telephone | 163-083-4150
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Fax | 163-083-4228
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Provider Business Mailing Address
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Address Line | 1930 S FAIRFIELD AVE
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City | CHICAGO
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State | IL
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Zip | 60608-2410
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Country | US
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Telephone | 163-083-4150
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Fax | 163-083-4228
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW REINHARDT
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Credential |
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Telephone | 630-834-1508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 203000201
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License Number State | IL
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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 | 203000201
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License Number State | IL
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