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General NPI Number Information
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NPI Number | 1376723221
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Entity Type | Organization
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Legal Business Name | SENIOR VILLAS DME INC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 5007 MELROSE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90038-4106
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Country | US
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Telephone | 323-462-4030
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Fax | 323-462-4031
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Provider Business Mailing Address
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Address Line | 5007 MELROSE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90038-4106
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Country | US
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Telephone | 323-462-4030
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Fax | 323-462-4031
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Authorized Official
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Title or Position | PRESEDENT
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Name | GARNIK EKMEKCHYAN
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Credential |
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Telephone | 323-462-4030
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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 | 000224932000011
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License Number State | CA
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