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NPI 1306150354

NPI 1306150354 : BLESSING MEDICAL SUPPLY : GARDENA, CA

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General NPI Number Information
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    NPI Number           |    1306150354
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLESSING MEDICAL SUPPLY 
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Dates
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    Enumeration Date     |    08/02/2010
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    Last Update Date     |    01/19/2012
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Provider Practice Location Address
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    Address Line         |    17901 S VERMONT AVE SUITE D
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    City                 |    GARDENA
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    State                |    CA
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    Zip                  |    90248-3402
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    Country              |    US
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    Telephone            |    310-400-7505
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    Fax                  |    310-808-0989
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Provider Business Mailing Address
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    Address Line         |    17901 S VERMONT AVE SUITE D
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    City                 |    GARDENA
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    State                |    CA
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    Zip                  |    90248-3402
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    Country              |    US
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    Telephone            |    310-400-7505
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    Fax                  |    310-808-0989
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JULIUS A. ARE 
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    Credential           |    
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    Telephone            |    310-400-7505
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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 |    CA
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