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General NPI Number Information
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NPI Number | 1295992253
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Entity Type | Organization
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Legal Business Name | WHITTIER MEDICAL HOMECARE SUPPLY INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 12633 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-2927
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Country | US
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Telephone | 562-945-5556
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Fax | 562-945-8577
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Provider Business Mailing Address
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Address Line | 12633 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-2927
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Country | US
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Telephone | 562-945-5556
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Fax | 562-945-8577
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Authorized Official
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Title or Position | CEO / CFO
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Name | TAMMY ANN FROST
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Credential |
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Telephone | 714-630-1716
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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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