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General NPI Number Information
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NPI Number | 1003069618
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Entity Type | Organization
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Legal Business Name | RAMI MEDICAL DENTAL SUPPLY
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 25835 NARBONNE AVE SUITE 200 F
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City | LOMITA
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State | CA
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Zip | 90717-3074
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Country | US
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Telephone | 310-951-3823
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Fax | 866-390-3791
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Provider Business Mailing Address
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Address Line | 25835 NARBONNE AVE SUITE 200 F
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City | LOMITA
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State | CA
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Zip | 90717-3074
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Country | US
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Telephone | 310-951-3823
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Fax | 866-390-3791
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Authorized Official
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Title or Position | OWNER
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Name | RAMI ABDELLA
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Credential |
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Telephone | 310-951-3823
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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 | SR AS 101-107798
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License Number State | CA
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