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General NPI Number Information
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NPI Number | 1174543912
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Entity Type | Organization
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Legal Business Name | XTREME MEDICAL INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 49744 GORMAN POST RD 4
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City | GORMAN
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State | CA
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Zip | 93243-9701
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Country | US
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Telephone | 661-248-6260
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Fax | 661-248-6270
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | GORMAN
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State | CA
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Zip | 93243-0068
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Country | US
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Telephone | 661-248-6260
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Fax | 661-248-6270
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BART SALGADO
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Credential |
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Telephone | 562-803-9444
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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 |
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