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General NPI Number Information
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NPI Number | 1245666296
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Entity Type | Organization
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Legal Business Name | THE PUMP CONNECTION, LLC
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 14106 MAGNOLIA BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3530
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Country | US
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Telephone | 818-905-7867
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Fax | 818-905-7860
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Provider Business Mailing Address
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Address Line | 14106 MAGNOLIA BLVD.
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3530
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Country | US
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Telephone | 818-905-7867
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Fax | 818-905-7860
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Authorized Official
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Title or Position | IBCLC/ OWNER
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Name | MS. REBECCA CHRISTINE BURDITT
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Credential | IBCLC
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Telephone | 818-905-7867
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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 | 000266832900010
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License Number State | CA
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