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General NPI Number Information
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NPI Number | 1275758591
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Entity Type | Organization
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Legal Business Name | P & R MEDICAL INC.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 7860 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-5313
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Country | US
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Telephone | 323-654-9779
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Fax | 323-654-7865
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Provider Business Mailing Address
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Address Line | 7860 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-5313
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Country | US
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Telephone | 323-654-9779
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Fax | 323-654-7865
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BRIGITTE BUREKHOVICH
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Credential |
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Telephone | 323-654-9779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 16820 102165
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License Number State | CA
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