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General NPI Number Information
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NPI Number | 1255482758
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Entity Type | Organization
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Legal Business Name | UC MEDICAL SUPPLY
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3535 CAHUENGA BLVD W STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90068-1359
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Country | US
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Telephone | 323-876-3407
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Fax | 323-876-3629
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Provider Business Mailing Address
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Address Line | 3535 CAHUENGA BLVD W STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90068-1359
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Country | US
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Telephone | 323-876-3407
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Fax | 323-876-3629
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Authorized Official
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Title or Position | OWNER
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Name | MR. NORAIR G BEZIKIAN
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Credential |
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Telephone | 323-876-3407
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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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