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General NPI Number Information
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NPI Number | 1043316771
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Entity Type | Organization
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Legal Business Name | R. A. MEDICAL COMPANY
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 407 E PERKINS ST
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City | UKIAH
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State | CA
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Zip | 95482-4506
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Country | US
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Telephone | 707-463-0160
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Fax | 707-463-0532
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Provider Business Mailing Address
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Address Line | 407 E PERKINS ST
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City | UKIAH
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State | CA
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Zip | 95482-4506
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Country | US
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Telephone | 707-463-0160
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Fax | 707-463-0532
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Authorized Official
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Title or Position | PARTNER
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Name | MR. NOBLE FREDERICK WAIDELICH SR.
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Credential | R.R.T.
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Telephone | 707-463-0160
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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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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #3
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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 | CA
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