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General NPI Number Information
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NPI Number | 1003701814
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Entity Type | Organization
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Legal Business Name | ANKANG DME LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 909-284-1939
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Fax |
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Provider Business Mailing Address
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Address Line | 255 S GLENDORA AVE UNIT 1341
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City | GLENDORA
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State | CA
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Zip | 91740-7169
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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 | CHAIRMAN
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Name | PETER FU
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Credential |
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Telephone | 909-284-1939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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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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