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General NPI Number Information
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NPI Number | 1356733406
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Entity Type | Organization
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Legal Business Name | RELIABLE MEDICAL SUPPLY CENTER, INC
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 17835 VENTURA BLVD SUITE 211
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City | ENCINO
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State | CA
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Zip | 91316-3634
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Country | US
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Telephone | 844-881-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 17835 VENTURA BLVD SUITE 211
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City | ENCINO
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State | CA
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Zip | 91316-3634
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Country | US
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Telephone | 844-881-0880
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VAHAB AGHAI
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Credential | PHD
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Telephone | 844-881-0880
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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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