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NPI 1962432666

NPI 1962432666 : DISTRICT HEALTHCARE & JANITORIAL SUPPLIES, INC. : LANHAM, MD

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General NPI Number Information
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    NPI Number           |    1962432666
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    Entity Type          |    Organization 
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    Legal Business Name  |    DISTRICT HEALTHCARE & JANITORIAL SUPPLIES, INC. 
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Dates
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    Enumeration Date     |    07/05/2006
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    10104 SENATE DR STE 201 
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    City                 |    LANHAM
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    State                |    MD
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    Zip                  |    20706-4393
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    Country              |    US
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    Telephone            |    301-918-0200
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    Fax                  |    301-918-8230
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Provider Business Mailing Address
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    Address Line         |    10104 SENATE DR STE 201 
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    City                 |    LANHAM
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    State                |    MD
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    Zip                  |    20706-4393
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    Country              |    US
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    Telephone            |    301-918-0200
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    Fax                  |    301-918-8230
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. PERNELL JEROME WILLIAMS 
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    Credential           |    
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    Telephone            |    301-333-1750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    16226054
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    License Number State |    MD
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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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