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NPI 1154406171

NPI 1154406171 : ECONOMY MEDICAL INC : CONCORD, CA

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General NPI Number Information
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    NPI Number           |    1154406171
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    Entity Type          |    Organization 
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    Legal Business Name  |    ECONOMY MEDICAL INC 
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Dates
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    Enumeration Date     |    10/26/2006
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    Last Update Date     |    05/17/2021
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Provider Practice Location Address
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    Address Line         |    4025 NELSON AVENUE ECONOMY MEDICAL INC
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94520
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    Country              |    US
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    Telephone            |    925-671-4800
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    Fax                  |    925-686-3580
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Provider Business Mailing Address
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    Address Line         |    2355 WHITMAN RD STE F 
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94518-2542
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    Country              |    US
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    Telephone            |    925-671-4800
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    Fax                  |    925-686-3580
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    MRS. AMY G GOODSPEED 
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    Credential           |    
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    Telephone            |    925-671-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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