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General NPI Number Information
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NPI Number | 1376300061
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Entity Type | Organization
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Legal Business Name | MORI MEDICAL EQUIPMENT INC
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 3401 N BUTLER AVE STE 105
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City | FARMINGTON
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State | NM
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Zip | 87401-6867
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Country | US
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Telephone | 760-659-4200
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Fax | 760-659-4200
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Provider Business Mailing Address
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Address Line | 2320 LA MIRADA DR
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City | VISTA
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State | CA
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Zip | 92081-7862
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Country | US
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Telephone | 760-659-4200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | GORDON MORI
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Credential |
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Telephone | 760-659-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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