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NPI 1205824521

NPI 1205824521 : DAMAR MEDICAL INDUSTRIES INC : DOWNEY, CA

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General NPI Number Information
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    NPI Number           |    1205824521
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAMAR MEDICAL INDUSTRIES INC 
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Dates
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    Enumeration Date     |    10/11/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    12460 BELLFLOWER BLVD 
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    City                 |    DOWNEY
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    State                |    CA
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    Zip                  |    90242-2806
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    Country              |    US
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    Telephone            |    562-803-6636
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    Fax                  |    562-803-4709
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Provider Business Mailing Address
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    Address Line         |    12460 BELLFLOWER BLVD 
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    City                 |    DOWNEY
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    State                |    CA
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    Zip                  |    90242-2806
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    Country              |    US
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    Telephone            |    562-803-6636
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    Fax                  |    562-803-4709
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. DAVID LEWIS PORTER 
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    Credential           |    CPO
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    Telephone            |    562-803-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    222Z00000X
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    Taxonomy Name        |    Orthotist
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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        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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    License Number       |    
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    License Number State |    
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