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General NPI Number Information
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NPI Number | 1093769242
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Entity Type | Organization
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Legal Business Name | ALPHA AIR DME, INC.
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 26341 JEFFERSON AVE STE E
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City | MURRIETA
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State | CA
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Zip | 92562-6974
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Country | US
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Telephone | 951-461-8046
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Fax | 951-461-8385
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Provider Business Mailing Address
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Address Line | 26341 JEFFERSON AVE STE E
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City | MURRIETA
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State | CA
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Zip | 92562-6974
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Country | US
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Telephone | 951-461-8046
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Fax | 951-461-8385
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Authorized Official
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Title or Position | MANAGER
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Name | VINCENT CHRIS DURAN
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Credential |
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Telephone | 951-461-8046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 74462
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License Number State | CA
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