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General NPI Number Information
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NPI Number | 1992036123
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Entity Type | Organization
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Legal Business Name | REST ASSURED HOME MEDICAL EQUIPMENT LLC
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | 12741 S SAGINAW ST OFFICE SUITE LL2
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City | GRAND BLANC
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State | MI
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Zip | 48439-2460
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Country | US
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Telephone | 312-226-9989
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Fax | 312-416-9979
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Provider Business Mailing Address
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Address Line | 2201 S HALSTED ST SUITE 1252
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City | CHICAGO
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State | IL
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Zip | 60608-4585
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. GREG WOOD
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Credential |
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Telephone | 312-226-9989
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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 | 203.000989
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License Number State | IL
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