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General NPI Number Information
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NPI Number | 1013152172
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Entity Type | Organization
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Legal Business Name | MEDFINITY
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 17227 NEWHOPE ST # 8642
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92728-9005
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Country | US
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Telephone | 714-839-8961
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8642
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92728-8642
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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 | MANAGER
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Name | PETER PHAM
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Credential |
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Telephone | 714-839-8961
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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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