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General NPI Number Information
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NPI Number | 1164652038
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Entity Type | Organization
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Legal Business Name | NADIFA MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 314 E HILLCREST BLVD STE 4
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City | INGLEWOOD
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State | CA
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Zip | 90301-2423
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Country | US
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Telephone | 310-419-2966
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Fax | 310-419-2969
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Provider Business Mailing Address
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Address Line | 314 E HILLCREST BLVD STE 4
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City | INGLEWOOD
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State | CA
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Zip | 90301-2423
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Country | US
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Telephone | 310-419-2966
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Fax | 310-419-2969
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTIAN ANAKWENZE
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Credential |
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Telephone | 310-419-2966
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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 |
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License Number State | CA
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