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General NPI Number Information
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NPI Number | 1215017181
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Entity Type | Organization
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Legal Business Name | MARK NAYFELD MEDCARE SUPPLY
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 1421 FILLMORE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-4114
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Country | US
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Telephone | 415-775-7117
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Fax | 415-775-6436
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Provider Business Mailing Address
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Address Line | 1421 FILLMORE STREET
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City | SAN FRANCISCO
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State | CA
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Zip | 94115
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Country | US
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Telephone | 415-775-7117
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Fax | 415-775-6436
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Authorized Official
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Title or Position | OWNER
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Name | MARK NAYFELD
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Credential |
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Telephone | 415-775-7117
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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 | 100937
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License Number State | CA
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