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General NPI Number Information
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NPI Number | 1205923679
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Entity Type | Organization
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Legal Business Name | MEDI-STOP HOME MEDICAL SUPPLIER
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 815 34TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2211
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Country | US
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Telephone | 661-328-9920
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Fax | 661-328-0375
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Provider Business Mailing Address
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Address Line | PO BOX 40547
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City | BAKERSFIELD
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State | CA
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Zip | 93384-0547
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Country | US
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Telephone | 661-328-9920
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Fax | 661-328-0375
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. MANUEL G HERNANDEZ
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Credential |
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Telephone | 661-328-9920
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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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