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General NPI Number Information
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NPI Number | 1962766501
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Entity Type | Organization
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Legal Business Name | PRIMARY MEDICAL EQUIPMENT, INC
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | 14930 LAPLAISANCE RD 137
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City | MONROE
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State | MI
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Zip | 48161-3880
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Country | US
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Telephone | 586-201-6765
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Fax |
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Provider Business Mailing Address
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Address Line | 14930 LAPLAISANCE RD 137
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City | MONROE
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State | MI
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Zip | 48161-3880
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Country | US
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Telephone | 586-201-6765
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. RYAN GUNABALAN
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Credential |
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Telephone | 586-261-2266
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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 |
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