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General NPI Number Information
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NPI Number | 1962452243
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Entity Type | Organization
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Legal Business Name | BAXTER SUPPLY SERVICES LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1 BAXTER PKWY
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City | DEERFIELD
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State | IL
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Zip | 60015-4625
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Country | US
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Telephone | 847-940-5353
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Fax | 847-940-5350
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Provider Business Mailing Address
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Address Line | 1 BAXTER PKWY
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City | DEERFIELD
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State | IL
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Zip | 60015-4625
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Country | US
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Telephone | 847-940-5353
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Fax | 847-940-5350
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JILL M SCHAAF
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Credential |
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Telephone | 847-473-6121
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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 | 203000687
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License Number State | IL
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