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NPI 1366678294

NPI 1366678294 : ASHLI HEALTHCARE INC : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1366678294
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASHLI HEALTHCARE INC 
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Dates
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    Enumeration Date     |    06/05/2009
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    Last Update Date     |    10/03/2011
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Provider Practice Location Address
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    Address Line         |    2201 ZEUS CT 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93308-6867
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    Country              |    US
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    Telephone            |    888-831-7977
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    Fax                  |    888-831-0909
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Provider Business Mailing Address
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    Address Line         |    2201 ZEUS CT 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93308-6867
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    Country              |    US
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    Telephone            |    888-831-7977
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    Fax                  |    888-831-0909
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. HERIBERTO  DIAZ 
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    Credential           |    
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    Telephone            |    661-979-4619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BP3500X
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    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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