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NPI 1154895449

NPI 1154895449 : XENSAN LLC : FALLS CHURCH, VA

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General NPI Number Information
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    NPI Number           |    1154895449
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    Entity Type          |    Organization 
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    Legal Business Name  |    XENSAN LLC 
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Dates
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    Enumeration Date     |    01/19/2019
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    Last Update Date     |    06/24/2019
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Provider Practice Location Address
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    Address Line         |    6547 ORLAND ST 
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    City                 |    FALLS CHURCH
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    State                |    VA
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    Zip                  |    22043-1813
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    Country              |    US
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    Telephone            |    571-220-6208
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    818 OAKWOOD ST 
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    City                 |    OJAI
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    State                |    CA
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    Zip                  |    93023-3567
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    Country              |    US
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    Telephone            |    571-220-6208
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ANKASH  BADAMI 
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    Credential           |    
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    Telephone            |    703-777-4429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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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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