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General NPI Number Information
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NPI Number | 1295073336
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Entity Type | Organization
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Legal Business Name | BRINGING UP BABY
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 2415 WILSHIRE BLVD
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City | SANTA MONICA
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State | CA
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Zip | 90403-5805
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Country | US
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Telephone | 310-998-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 8946 ELLIS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-3302
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Country | US
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Telephone | 310-745-5231
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CHERYL LYNN PETRAN
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Credential |
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Telephone | 310-745-5231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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