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General NPI Number Information
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NPI Number | 1013209709
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Entity Type | Organization
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Legal Business Name | EASY BREATHE, INC.
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 11859 WILSHIRE BLVD SUITE 602
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City | LOS ANGELES
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State | CA
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Zip | 90025-6616
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Country | US
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Telephone | 866-564-2252
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Fax | 877-883-9709
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Provider Business Mailing Address
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Address Line | 11859 WILSHIRE BLVD SUITE 602
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City | LOS ANGELES
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State | CA
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Zip | 90025-6616
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Country | US
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Telephone | 866-564-2252
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Fax | 877-883-9709
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Authorized Official
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Title or Position | CEO
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Name | MR. NICHOLAS IAN WEISS
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Credential |
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Telephone | 310-479-1935
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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 | 58265
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License Number State | CA
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