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NPI Code Detail

MEDICARE: NOW VOYAGER LLC

MEDICARE: NOW VOYAGER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1235579624
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOW VOYAGER LLC
Provider Business Mailing Address
First Line : 2109 OTOOLE AVE
Second Line : STE. C
City : SAN JOSE
State : CA
Zip : 95131-1338
Country : US
Telephone Number : 669-222-9264
Fax Number :
Provider Business Practice Location Address
First Line : 2109 OTOOLE AVE
Second Line : STE. C
City : SAN JOSE
State : CA
Zip : 95131-1338
Country : US
Telephone Number : 669-222-9264
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. VIRGIL DEAN MOORE
Credential :
Telephone Number : 669-222-9264
Provider Enumeration Date : 06/28/2013
Last Update Date : 09/02/2013

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Directions to “NOW VOYAGER LLC ” Practice Location

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