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General NPI Number Information
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NPI Number | 1235642810
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Entity Type | Organization
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Legal Business Name | REDAN MEDICAL INC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2736 W ORANGETHORPE AVE STE 21
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City | FULLERTON
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State | CA
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Zip | 92833-4276
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Country | US
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Telephone | 310-985-3870
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Fax | 949-666-3235
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Provider Business Mailing Address
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Address Line | 2736 W ORANGETHORPE AVE STE 21
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City | FULLERTON
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State | CA
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Zip | 92833-4276
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Country | US
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Telephone | 310-985-3870
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Fax | 949-666-2235
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Authorized Official
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Title or Position | OWNER
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Name | DANIAL SHAHMIRZADI
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Credential |
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Telephone | 310-985-3870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 304700218
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License Number State | CA
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