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NPI 1245414242

NPI 1245414242 : MINAKA, INC : LAGUNA HILLS, CA

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General NPI Number Information
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    NPI Number           |    1245414242
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    Entity Type          |    Organization 
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    Legal Business Name  |    MINAKA, INC 
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Dates
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    Enumeration Date     |    12/26/2007
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    Last Update Date     |    06/18/2008
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Provider Practice Location Address
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    Address Line         |    24102 EL TORO RD STE I 
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    City                 |    LAGUNA HILLS
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    State                |    CA
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    Zip                  |    92637-3123
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    Country              |    US
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    Telephone            |    949-455-0404
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24102 EL TORO RD STE I 
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    City                 |    LAGUNA HILLS
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    State                |    CA
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    Zip                  |    92637-3123
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    Country              |    US
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    Telephone            |    949-455-0404
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     KAMRAN  NAKHAEE 
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    Credential           |    
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    Telephone            |    949-455-0404
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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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