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General NPI Number Information
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NPI Number | 1326059080
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Entity Type | Organization
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Legal Business Name | BISCHOFF'S MEDICAL SUPPLIES
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 1635 DIVISADERO ST STE 105
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3000
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Country | US
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Telephone | 415-921-0440
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Fax | 415-921-3221
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Provider Business Mailing Address
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Address Line | 19100 BIG BASIN WAY
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City | BOULDER CREEK
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State | CA
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Zip | 95006-8570
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Country | US
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Telephone | 831-338-6552
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Fax | 831-338-7777
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Authorized Official
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Title or Position | SECRETARY
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Name | JOCELYN BISCHOFF
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Credential |
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Telephone | 831-338-6552
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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 | 4416050001
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License Number State | CA
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