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General NPI Number Information
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NPI Number | 1992405062
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Entity Type | Organization
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Legal Business Name | MOOR INTEGRATED LOGISTICS CORPORATION
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 17154 CONANT ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-1166
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Country | US
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Telephone | 248-798-1809
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Fax | 586-649-3251
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Provider Business Mailing Address
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Address Line | 27432 GROESBECK HWY STE 3
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City | ROSEVILLE
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State | MI
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Zip | 48066-2715
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Country | US
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Telephone | 248-798-1809
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Fax | 586-649-3251
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. MYLES ANTHONY-ISAAC FREDERICK
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Credential |
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Telephone | 248-798-1809
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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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