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General NPI Number Information
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NPI Number | 1225061641
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Entity Type | Organization
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Legal Business Name | AMERASIAN MEDICAL SUPPLY CO. INC.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1668 ALUM ROCK AVE
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City | SAN JOSE
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State | CA
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Zip | 95116-2437
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Country | US
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Telephone | 408-937-0166
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Fax | 408-937-0186
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Provider Business Mailing Address
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Address Line | 1668 ALUM ROCK AVE
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City | SAN JOSE
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State | CA
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Zip | 95116-2437
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Country | US
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Telephone | 408-937-0166
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Fax | 408-937-0186
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ZENAIDA NEGROSA BAILON
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Credential | RN
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Telephone | 408-937-0166
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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 | 15672
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License Number State | CA
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