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General NPI Number Information
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NPI Number | 1134424195
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Entity Type | Organization
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Legal Business Name | DRAKE MEDICAL EQUIPMENT SERVICES, INC.
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 1930 WILSHIRE BLVD STE 902
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City | LOS ANGELES
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State | CA
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Zip | 90057-3619
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Country | US
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Telephone | 213-989-0858
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 WILSHIRE BLVD., SUITE 902
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City | LOS ANGELES
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State | CA
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Zip | 90057
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Country | US
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Telephone | 213-989-0858
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. GRACE LUNA
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Credential |
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Telephone | 213-989-0858
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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 | 0000225966-0001-1
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License Number State | CA
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