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General NPI Number Information
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NPI Number | 1215153085
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Entity Type | Organization
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Legal Business Name | ACCLAIM MEDICAL & HOME CARE SUPPLY, INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 539 H ST
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City | CHULA VISTA
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State | CA
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Zip | 91910-4301
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Country | US
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Telephone | 619-425-1144
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Fax | 619-425-1339
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Provider Business Mailing Address
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Address Line | 539 H STREET
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City | CHULA VISTA
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State | CA
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Zip | 91910-4301
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Country | US
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Telephone | 619-425-1144
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Fax | 619-425-1339
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Authorized Official
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Title or Position | PRESIDENT AND GENERAL MANAGER
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Name | DANA G. BIRCH
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Credential |
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Telephone | 619-425-1144
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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 | 100560
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License Number State | CA
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