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General NPI Number Information
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NPI Number | 1326195926
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Entity Type | Organization
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Legal Business Name | GV MEDICAL EQUIPMENT AND SUPPLY, INC.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 21032 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90503-4614
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Country | US
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Telephone | 310-542-6575
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Fax | 310-542-6585
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Provider Business Mailing Address
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Address Line | 21032 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90503-4614
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Country | US
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Telephone | 310-542-6575
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Fax | 310-542-6585
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAMIN BAROUKH
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Credential |
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Telephone | 310-542-6575
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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 | 100376
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 14722
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License Number State | CA
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