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General NPI Number Information
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NPI Number | 1366646218
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Entity Type | Organization
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Legal Business Name | WILBUR HOME HELTH CARE & MEDICAL SUPPLY INC.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 123 E FOOTHILL BLVD
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City | AZUSA
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State | CA
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Zip | 91702-2512
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Country | US
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Telephone | 626-458-1500
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Fax | 626-458-1200
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Provider Business Mailing Address
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Address Line | 123 E FOOTHILL BLVD
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City | AZUSA
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State | CA
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Zip | 91702-2512
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Country | US
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Telephone | 626-458-1500
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Fax | 626-458-1200
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NABIL H HAKIM
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Credential |
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Telephone | 626-458-1500
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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 | 55591
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License Number State | CA
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