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General NPI Number Information
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NPI Number | 1972671477
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Entity Type | Organization
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Legal Business Name | AMERIMED DIABETIC SUPPLY COMPANY
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9555 COMMERCE RD SUITE 2B
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-4165
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Country | US
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Telephone | 248-342-9927
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Fax | 248-360-3808
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Provider Business Mailing Address
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Address Line | 9555 COMMERCE RD SUITE 2B
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-4165
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Country | US
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Telephone | 248-342-9927
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Fax | 248-360-3808
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARETT MCCONNELL
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Credential |
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Telephone | 248-342-9927
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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 | MI
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