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General NPI Number Information
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NPI Number | 1366913543
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Entity Type | Organization
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Legal Business Name | ONDEMAND VISIT, INC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 6540 LUSK BLVD STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92121-5700
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Country | US
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Telephone | 877-901-9990
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Fax | 858-201-3356
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Provider Business Mailing Address
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Address Line | 6540 LUSK BLVD STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92121-5700
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Country | US
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Telephone | 877-901-9990
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Fax | 858-201-3356
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Authorized Official
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Title or Position | BILLER
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Name | TERESE MCLEAN
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Credential |
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Telephone | 858-201-3465
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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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