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General NPI Number Information
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NPI Number | 1114175932
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Entity Type | Organization
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Legal Business Name | SOKAB MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 2130 N ARROWHEAD AVE 103 A
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4023
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Country | US
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Telephone | 909-804-4076
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Fax | 909-804-4078
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Provider Business Mailing Address
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Address Line | 2130 N ARROWHEAD AVE 103A
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-4023
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Country | US
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Telephone | 909-804-4076
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Fax | 909-804-4078
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Authorized Official
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Title or Position | CEO
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Name | MR. OLUSOLA OLAYINKA
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Credential |
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Telephone | 909-804-4076
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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 | 33200000X
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License Number State | CA
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