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General NPI Number Information
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NPI Number | 1083690127
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Entity Type | Organization
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Legal Business Name | BIOHORIZON MEDICAL, INC.
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 3882 DEL AMO BOULEVARD 604
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City | TORRANCE
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State | CA
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Zip | 90503-2184
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Country | US
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Telephone | 310-321-5830
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Fax | 310-321-5428
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Provider Business Mailing Address
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Address Line | 3882 DEL AMO BLVD 604
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City | TORRANCE
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State | CA
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Zip | 90503
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Country | US
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Telephone | 310-321-5830
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Fax | 310-321-5428
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK EDWARD KNIGHT
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Credential |
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Telephone | 310-321-5830
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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 | HMDR #103712
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License Number State | CA
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