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General NPI Number Information
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NPI Number | 1215738893
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Entity Type | Organization
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Legal Business Name | SUPER CARE INC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 12176 INDUSTRIAL BLVD STE 4
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City | VICTORVILLE
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State | CA
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Zip | 92395-5879
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Country | US
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Telephone | 800-206-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 16017 VALLEY BLVD
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91744-5424
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Country | US
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Telephone | 877-876-9275
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN L CASSAR
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Credential |
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Telephone | 800-206-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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