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General NPI Number Information
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NPI Number | 1275522310
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Entity Type | Organization
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Legal Business Name | YESNACO HEALTH SERVICE
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 4809 W ADAMS BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016-2820
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Country | US
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Telephone | 323-733-7338
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Fax | 323-733-7309
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Provider Business Mailing Address
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Address Line | PO BOX 352257
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City | LOS ANGELES
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State | CA
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Zip | 90035-0258
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Country | US
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Telephone | 323-733-7338
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Fax | 323-733-7309
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Authorized Official
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Title or Position | CEO
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Name | MR. NII AHUMA OCANSEY
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Credential |
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Telephone | 323-733-7338
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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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