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General NPI Number Information
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NPI Number | 1003638065
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Entity Type | Organization
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Legal Business Name | MATESIDE GLOBAL US INC.
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 231 S PLEASANT AVE
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City | ONTARIO
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State | CA
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Zip | 91761-1730
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Country | US
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Telephone | 626-608-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 231 S PLEASANT AVE
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City | ONTARIO
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State | CA
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Zip | 91761-1730
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Country | US
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Telephone | 626-608-8994
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. JINGYUN LUO
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Credential |
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Telephone | 626-608-8994
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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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