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General NPI Number Information
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NPI Number | 1972324077
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Entity Type | Organization
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Legal Business Name | DUA LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 48783 PRESIDENTIAL DR
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City | MACOMB
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State | MI
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Zip | 48044-1987
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Country | US
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Telephone | 248-497-8555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5
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City | ARMADA
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State | MI
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Zip | 48005-0005
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Country | US
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Telephone | 248-497-8555
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALENTINA PALOKA
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Credential |
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Telephone | 248-497-8855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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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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