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General NPI Number Information
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NPI Number | 1063771061
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Entity Type | Organization
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Legal Business Name | DRASEY LLC
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 1387 KATHLEEN DR
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City | NEWBURY PARK
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State | CA
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Zip | 91320-4666
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Country | US
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Telephone | 805-657-7374
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 E THOUSAND OAKS BLVD SUITE 7753
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City | THOUSAND OAKS
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State | CA
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Zip | 91359-7901
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Country | US
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Telephone | 805-657-7374
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MS. RENEE WILKINS
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Credential |
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Telephone | 805-657-7374
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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 | 2012 23640
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License Number State | CA
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