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General NPI Number Information
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NPI Number | 1194144147
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Entity Type | Organization
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Legal Business Name | HANURI DISTRIBUTOR
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 9601 OWENSMOUTH AVE STE 8
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City | CHATSWORTH
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State | CA
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Zip | 91311-4852
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Country | US
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Telephone | 818-998-1023
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Fax | 818-998-0277
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Provider Business Mailing Address
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Address Line | 9601 OWENSMOUTH AVE STE 8
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City | CHATSWORTH
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State | CA
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Zip | 91311-4852
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Country | US
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Telephone | 818-998-1023
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Fax | 818-998-0277
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Authorized Official
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Title or Position | PRESIDNET
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Name | MR. JUNG MOON
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Credential |
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Telephone | 818-998-1023
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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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