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General NPI Number Information
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NPI Number | 1255642872
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Entity Type | Organization
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Legal Business Name | WEST COAST MEDICAL EQUIPMENT & REPAIR, INC.
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 3481 W DEVONSHIRE AVE
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City | HEMET
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State | CA
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Zip | 92545-2400
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Country | US
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Telephone | 951-658-4588
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Fax | 951-658-4688
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Provider Business Mailing Address
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Address Line | 3481 W DEVONSHIRE AVE
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City | HEMET
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State | CA
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Zip | 92545-2400
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Country | US
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Telephone | 951-658-4588
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Fax | 951-658-4688
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS S. ORTEGA
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Credential |
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Telephone | 951-658-4588
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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 | 53666
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License Number State | CA
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