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General NPI Number Information
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NPI Number | 1225199862
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Entity Type | Organization
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Legal Business Name | HOPE MEDICAL SUPPLY,LLC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 237 E QUEEN ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1719
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Country | US
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Telephone | 310-671-3728
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Fax | 310-671-3763
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Provider Business Mailing Address
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Address Line | 237 E QUEEN ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1719
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Country | US
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Telephone | 310-671-3728
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Fax | 310-671-3763
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Authorized Official
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Title or Position | OWNER
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Name | AIDERUS IBRAHIM SHERIFF
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Credential |
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Telephone | 310-671-3728
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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 | CA
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