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General NPI Number Information
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NPI Number | 1346689445
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Entity Type | Organization
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Legal Business Name | CLARITY MEDICAL SUPPLY
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 201 W GARVEY AVE SUITE 105
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City | MONTEREY PARK
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State | CA
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Zip | 91754-7418
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Country | US
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Telephone | 626-757-2500
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Fax | 626-280-2931
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Provider Business Mailing Address
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Address Line | 8105 E EMERSON PL
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City | ROSEMEAD
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State | CA
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Zip | 91770-1933
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Country | US
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Telephone | 626-757-2500
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Fax | 626-280-2931
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Authorized Official
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Title or Position | OWNER
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Name | TAM N DOAN
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Credential |
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Telephone | 626-757-2500
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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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