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General NPI Number Information
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NPI Number | 1316982127
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Entity Type | Organization
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Legal Business Name | TRU-CARE MEDICAL SUPPLIES, INC.
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 01/08/2011
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Provider Practice Location Address
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Address Line | 1559 S NOVATO BLVD SUITE D
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City | NOVATO
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State | CA
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Zip | 94947-4141
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Country | US
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Telephone | 415-209-6971
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Fax | 415-209-6974
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Provider Business Mailing Address
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Address Line | 1559 S NOVATO BLVD SUITE D
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City | NOVATO
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State | CA
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Zip | 94947-4141
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Country | US
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Telephone | 415-209-6971
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Fax | 415-209-6974
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM L. FOURNIER
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Credential |
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Telephone | 415-209-6971
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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 | 52474
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License Number State | CA
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