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General NPI Number Information
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NPI Number | 1245060706
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Entity Type | Organization
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Legal Business Name | CYBERMDCARE
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 621 S VIRGIL AVE STE 430
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City | LOS ANGELES
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State | CA
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Zip | 90005-4048
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Country | US
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Telephone | 714-686-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S VIRGIL AVE STE 430
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City | LOS ANGELES
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State | CA
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Zip | 90005-4048
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SALES SUPPORT
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Name | JOHN KANG
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Credential |
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Telephone | 714-686-5225
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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 |
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