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General NPI Number Information
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NPI Number | 1144499658
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Entity Type | Organization
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Legal Business Name | NATIVITY MEDICAL INC
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 14713 PRAIRIE AVE
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City | LAWNDALE
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State | CA
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Zip | 90260-1831
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Country | US
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Telephone | 310-675-4657
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Fax | 310-675-4297
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Provider Business Mailing Address
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Address Line | 14713 PRAIRIE AVE
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City | LAWNDALE
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State | CA
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Zip | 90260-1831
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Country | US
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Telephone | 310-675-4657
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Fax | 310-675-4297
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Authorized Official
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Title or Position | PRESIDENT
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Name | NKIRUKA ANAKOR
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Credential | RN
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Telephone | 310-675-4657
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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 | 49090
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License Number State | CA
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