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General NPI Number Information
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NPI Number | 1295864684
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Entity Type | Individual
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Provider Name | MRS. ESTHER OMOLAYO ARE
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Gender | Female
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 15342 HAWTHORNE BLVD SUITE 207
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City | LAWNDALE
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State | CA
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Zip | 90260-2152
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Country | US
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Telephone | 310-675-3426
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Fax | 310-675-3426
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Provider Business Mailing Address
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Address Line | 15342 HAWHTORNE BLVD SUITE 207
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City | LAWNDALE
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State | CA
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Zip | 90260-2152
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Country | US
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Telephone | 310-675-3426
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Fax | 310-675-3426
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 47196
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License Number State | CA
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